Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.23 / $1,015.89 / $1,700.00	Facility		$674.23	$1,015.89	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.23 / $755.79 / $960.70	Professional		$674.23	$755.79	$960.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.17 / $786.73 / $857.16	Facility		$716.17	$786.73	$857.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $761.92 / $761.92	Professional		$390.92	$761.92	$761.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $789.63 / $789.63	Facility		$789.63	$789.63	$789.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.97 / $952.40 / $1,748.16	Professional		$655.97	$952.40	$1,748.16
United Facility/Professional Professional Modifier Low / Median / High Price $512.51 / $781.10 / $1,089.08	Professional		$512.51	$781.10	$1,089.08