Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.41 / $1,067.65 / $2,300.00	Facility		$698.41	$1,067.65	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.41 / $754.36 / $1,023.86	Professional		$698.41	$754.36	$1,023.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.01 / $746.85 / $900.83	Facility		$689.01	$746.85	$900.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.83 / $800.74 / $800.74	Professional		$410.83	$800.74	$800.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.98 / $804.98 / $804.98	Facility		$804.98	$804.98	$804.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $977.67 / $1,803.18	Professional		$682.29	$977.67	$1,803.18
United Facility/Professional Professional Modifier Low / Median / High Price $510.23 / $756.14 / $1,099.81	Professional		$510.23	$756.14	$1,099.81