Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.26 / $1,174.85 / $1,700.00	Facility		$754.26	$1,174.85	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.97 / $804.15 / $1,141.51	Professional		$745.97	$804.15	$1,141.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.25 / $909.85 / $991.29	Facility		$815.25	$909.85	$991.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $452.06 / $881.15 / $881.15	Professional		$452.06	$881.15	$881.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.43 / $873.43 / $873.43	Facility		$873.43	$873.43	$873.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.81 / $1,163.09 / $2,187.21	Professional		$743.81	$1,163.09	$2,187.21
United Facility/Professional Professional Modifier Low / Median / High Price $613.11 / $1,072.95 / $1,658.69	Professional		$613.11	$1,072.95	$1,658.69