Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.66 / $1,365.68 / $1,700.00	Facility		$907.66	$1,365.68	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.66 / $1,004.12 / $1,337.32	Professional		$907.66	$1,004.12	$1,337.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $959.25 / $1,057.61 / $1,152.29	Facility		$959.25	$1,057.61	$1,152.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $525.54 / $1,024.26 / $1,024.26	Professional		$525.54	$1,024.26	$1,024.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.20 / $1,316.97 / $2,452.77	Professional		$893.20	$1,316.97	$2,452.77
United Facility/Professional Professional Modifier Low / Median / High Price $706.76 / $1,088.08 / $1,521.14	Professional		$706.76	$1,088.08	$1,521.14