Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.95 / $1,387.89 / $1,700.00	Facility		$893.95	$1,387.89	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.71 / $953.30 / $1,381.30	Professional		$887.71	$953.30	$1,381.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $965.56 / $1,074.82 / $1,171.03	Facility		$965.56	$1,074.82	$1,171.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $534.11 / $1,040.92 / $1,040.92	Professional		$534.11	$1,040.92	$1,040.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.63 / $1,032.63 / $1,032.63	Facility		$1,032.63	$1,032.63	$1,032.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.39 / $1,301.14 / $2,446.94	Professional		$879.39	$1,301.14	$2,446.94
United Facility/Professional Professional Modifier Low / Median / High Price $698.10 / $1,058.10 / $1,426.87	Professional		$698.10	$1,058.10	$1,426.87