Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.47 / $1,683.47 / $2,324.80	Facility		$1,683.47	$1,683.47	$2,324.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $1,296.01 / $1,683.47	Professional		$801.65	$1,296.01	$1,683.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,603.31	Facility		$1,336.09	$1,336.09	$1,603.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.46 / $868.46 / $1,336.09	Professional		$868.46	$868.46	$1,336.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.46 / $1,007.41 / $1,997.46	Facility		$868.46	$1,007.41	$1,997.46
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $801.65 / $1,336.09	Professional		$561.16	$801.65	$1,336.09