Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.45 / $1,204.50 / $1,400.00	Facility		$756.45	$1,204.50	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $855.03 / $1,167.72	Professional		$701.47	$855.03	$1,167.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.39 / $932.80 / $1,016.29	Facility		$831.39	$932.80	$1,016.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $527.74 / $903.37 / $903.37	Professional		$527.74	$903.37	$903.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,333.12 / $1,333.12 / $1,333.12	Facility		$1,333.12	$1,333.12	$1,333.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.80 / $1,135.33 / $2,501.44	Professional		$775.80	$1,135.33	$2,501.44
United Facility/Professional Professional Modifier Low / Median / High Price $655.14 / $1,007.86 / $1,395.36	Professional		$655.14	$1,007.86	$1,395.36