Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.56 / $1,188.77 / $1,400.00	Facility		$763.56	$1,188.77	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.47 / $811.25 / $1,139.27	Professional		$753.47	$811.25	$1,139.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $823.89 / $920.62 / $1,003.02	Facility		$823.89	$920.62	$1,003.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.43 / $891.58 / $891.58	Professional		$457.43	$891.58	$891.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.60 / $881.60 / $881.60	Facility		$881.60	$881.60	$881.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.01 / $1,092.41 / $2,218.44	Professional		$751.01	$1,092.41	$2,218.44
United Facility/Professional Professional Modifier Low / Median / High Price $580.79 / $889.71 / $1,225.92	Professional		$580.79	$889.71	$1,225.92