Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.24 / $1,245.08 / $1,700.00	Facility		$821.24	$1,245.08	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.24 / $907.39 / $1,158.05	Professional		$821.24	$907.39	$1,158.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $873.63 / $964.22 / $1,050.54	Facility		$873.63	$964.22	$1,050.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.94 / $933.82 / $933.82	Professional		$478.94	$933.82	$933.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $954.42	Facility		$954.42	$954.42	$954.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.17 / $1,167.27 / $2,114.10	Professional		$807.17	$1,167.27	$2,114.10
United Facility/Professional Professional Modifier Low / Median / High Price $633.63 / $1,012.97 / $1,356.38	Professional		$633.63	$1,012.97	$1,356.38