Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.46 / $1,343.41 / $1,700.00	Facility		$886.46	$1,343.41	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.46 / $973.94 / $1,270.30	Professional		$886.46	$973.94	$1,270.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $941.19 / $1,040.38 / $1,133.50	Facility		$941.19	$1,040.38	$1,133.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $516.77 / $1,007.56 / $1,007.56	Professional		$516.77	$1,007.56	$1,007.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $1,026.75 / $1,026.75	Facility		$1,026.75	$1,026.75	$1,026.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.79 / $1,259.45 / $2,314.19	Professional		$861.79	$1,259.45	$2,314.19
United Facility/Professional Professional Modifier Low / Median / High Price $676.61 / $1,083.25 / $1,891.84	Professional		$676.61	$1,083.25	$1,891.84