Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.16 / $1,352.42 / $2,300.00	Facility		$870.16	$1,352.42	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.16 / $945.61 / $1,332.41	Professional		$870.16	$945.61	$1,332.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.87 / $1,047.34 / $1,141.09	Facility		$942.87	$1,047.34	$1,141.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.55 / $1,014.31 / $1,014.31	Professional		$520.55	$1,014.31	$1,014.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.63 / $1,016.63 / $1,016.63	Facility		$1,016.63	$1,016.63	$1,016.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.36 / $1,271.25 / $2,366.26	Professional		$864.36	$1,271.25	$2,366.26
United Facility/Professional Professional Modifier Low / Median / High Price $703.77 / $1,061.05 / $1,504.35	Professional		$703.77	$1,061.05	$1,504.35