Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.28 / $1,358.51 / $1,700.00	Facility		$899.28	$1,358.51	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.28 / $990.90 / $1,284.30	Professional		$899.28	$990.90	$1,284.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $952.84 / $1,052.06 / $1,146.24	Facility		$952.84	$1,052.06	$1,146.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $522.75 / $1,018.88 / $1,018.88	Professional		$522.75	$1,018.88	$1,018.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.04 / $1,042.04 / $1,042.04	Facility		$1,042.04	$1,042.04	$1,042.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.57 / $1,236.11 / $2,427.21	Professional		$885.57	$1,236.11	$2,427.21
United Facility/Professional Professional Modifier Low / Median / High Price $663.68 / $1,039.57 / $1,503.73	Professional		$663.68	$1,039.57	$1,503.73