Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.17 / $1,102.82 / $1,700.00	Facility		$707.17	$1,102.82	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.41 / $756.55 / $1,075.04	Professional		$700.41	$756.55	$1,075.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.47 / $854.05 / $930.50	Facility		$765.47	$854.05	$930.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $424.38 / $827.11 / $827.11	Professional		$424.38	$827.11	$827.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.51 / $1,055.31 / $2,047.68	Professional		$698.51	$1,055.31	$2,047.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.89 / $817.67 / $1,154.30	Professional		$567.89	$817.67	$1,154.30