Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.08 / $1,102.91 / $1,600.00	Facility		$704.08	$1,102.91	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.08 / $764.06 / $1,079.48	Professional		$704.08	$764.06	$1,079.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $768.15 / $854.12 / $930.58	Facility		$768.15	$854.12	$930.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $424.38 / $827.18 / $827.18	Professional		$424.38	$827.18	$827.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.67 / $827.67 / $827.67	Facility		$827.67	$827.67	$827.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.37 / $994.36 / $2,024.54	Professional		$701.37	$994.36	$2,024.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,487.03 / $4,487.03 / $4,487.03	Facility		$4,487.03	$4,487.03	$4,487.03
United Facility/Professional Professional Modifier Low / Median / High Price $536.29 / $816.33 / $1,113.18	Professional		$536.29	$816.33	$1,113.18