Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.02 / $23,728.42 / $23,728.42	Facility		$920.02	$23,728.42	$23,728.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $635.89 / $1,293.77	Professional		$540.58	$635.89	$1,293.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $640.32 / $712.49 / $776.26	Facility		$640.32	$712.49	$776.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $690.01 / $690.01	Professional		$354.08	$690.01	$690.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.25 / $910.56 / $1,689.91	Professional		$585.25	$910.56	$1,689.91
United Facility/Professional Professional Modifier Low / Median / High Price $504.95 / $832.57 / $1,270.48	Professional		$504.95	$832.57	$1,270.48