Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.43 / $1,067.50 / $2,600.00	Facility		$685.43	$1,067.50	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.57 / $733.96 / $1,030.44	Professional		$678.57	$733.96	$1,030.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.43 / $826.70 / $900.71	Facility		$741.43	$826.70	$900.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.83 / $800.63 / $800.63	Professional		$410.83	$800.63	$800.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.31 / $795.31 / $795.31	Facility		$795.31	$795.31	$795.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.89 / $1,000.79 / $1,981.70	Professional		$676.89	$1,000.79	$1,981.70
United Facility/Professional Professional Modifier Low / Median / High Price $536.41 / $827.56 / $1,118.14	Professional		$536.41	$827.56	$1,118.14