Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.42 / $1,078.58 / $1,400.00	Facility		$742.42	$1,078.58	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.42 / $895.93 / $1,064.43	Professional		$742.42	$895.93	$1,064.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $696.07 / $775.70 / $910.06	Facility		$696.07	$775.70	$910.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $808.94 / $808.94	Professional		$503.24	$808.94	$808.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,243.82 / $1,243.82	Facility		$1,243.82	$1,243.82	$1,243.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.56 / $943.76 / $1,876.50	Professional		$694.56	$943.76	$1,876.50
United Facility/Professional Professional Modifier Low / Median / High Price $506.36 / $719.70 / $1,307.89	Professional		$506.36	$719.70	$1,307.89