Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.34 / $1,059.81 / $1,700.00	Facility		$677.34	$1,059.81	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.40 / $730.56 / $1,019.51	Professional		$674.40	$730.56	$1,019.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $736.72 / $820.74 / $894.21	Facility		$736.72	$820.74	$894.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.65 / $794.86 / $794.86	Professional		$407.65	$794.86	$794.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.96 / $791.96 / $791.96	Facility		$791.96	$791.96	$791.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.96 / $996.15 / $1,942.60	Professional		$671.96	$996.15	$1,942.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.05 / $836.26 / $1,112.40	Professional		$543.05	$836.26	$1,112.40