Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.80 / $1,400.00 / $3,500.80	Facility		$646.80	$1,400.00	$3,500.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $1,895.61 / $4,887.85	Professional		$646.80	$1,895.61	$4,887.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.45 / $713.77 / $853.02	Facility		$652.45	$713.77	$853.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.24 / $758.24 / $1,347.01	Professional		$758.24	$758.24	$1,347.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.52 / $1,144.52 / $1,144.52	Facility		$1,144.52	$1,144.52	$1,144.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.43 / $2,416.69 / $6,232.79	Professional		$704.43	$2,416.69	$6,232.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.36 / $2,918.56 / $4,525.46	Professional		$1,350.36	$2,918.56	$4,525.46