Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.34 / $1,291.11 / $1,700.00	Facility		$850.34	$1,291.11	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.34 / $938.31 / $1,215.50	Professional		$850.34	$938.31	$1,215.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.07 / $999.88 / $1,089.38	Facility		$905.07	$999.88	$1,089.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $968.34 / $968.34	Professional		$496.86	$968.34	$968.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.85 / $986.85 / $986.85	Facility		$986.85	$986.85	$986.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.33 / $1,210.42 / $2,208.55	Professional		$838.33	$1,210.42	$2,208.55
United Facility/Professional Professional Modifier Low / Median / High Price $633.35 / $979.89 / $1,361.33	Professional		$633.35	$979.89	$1,361.33