Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.48 / $1,368.22 / $1,400.00	Facility		$884.48	$1,368.22	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.62 / $941.14 / $1,337.64	Professional		$876.62	$941.14	$1,337.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $951.76 / $1,059.58 / $1,154.44	Facility		$951.76	$1,059.58	$1,154.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.53 / $1,026.17 / $1,026.17	Professional		$526.53	$1,026.17	$1,026.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.38 / $1,017.38 / $1,017.38	Facility		$1,017.38	$1,017.38	$1,017.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.75 / $1,256.04 / $2,547.38	Professional		$867.75	$1,256.04	$2,547.38
United Facility/Professional Professional Modifier Low / Median / High Price $674.46 / $1,059.85 / $1,410.98	Professional		$674.46	$1,059.85	$1,410.98