Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.64 / $1,397.38 / $1,700.00	Facility		$875.64	$1,397.38	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.36 / $947.39 / $1,344.23	Professional		$820.36	$947.39	$1,344.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $945.01 / $1,082.16 / $1,179.04	Facility		$945.01	$1,082.16	$1,179.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.69 / $1,048.03 / $1,048.03	Professional		$537.69	$1,048.03	$1,048.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.10 / $1,021.10 / $1,021.10	Facility		$1,021.10	$1,021.10	$1,021.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.42 / $1,087.69 / $2,576.69	Professional		$864.42	$1,087.69	$2,576.69
United Facility/Professional Professional Modifier Low / Median / High Price $587.39 / $858.28 / $1,397.38	Professional		$587.39	$858.28	$1,397.38