Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.43 / $1,390.66 / $1,700.00	Facility		$894.43	$1,390.66	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.38 / $950.36 / $1,358.38	Professional		$882.38	$950.36	$1,358.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $963.93 / $1,076.96 / $1,173.36	Facility		$963.93	$1,076.96	$1,173.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $535.10 / $1,042.99 / $1,042.99	Professional		$535.10	$1,042.99	$1,042.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.52 / $1,031.52 / $1,031.52	Facility		$1,031.52	$1,031.52	$1,031.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $1,377.33 / $2,587.44	Professional		$879.48	$1,377.33	$2,587.44
United Facility/Professional Professional Modifier Low / Median / High Price $727.67 / $1,142.39 / $1,749.87	Professional		$727.67	$1,142.39	$1,749.87