Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.42 / $1,221.74 / $1,600.00	Facility		$799.42	$1,221.74	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.42 / $876.25 / $1,121.29	Professional		$799.42	$876.25	$1,121.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $854.47 / $946.15 / $1,030.84	Facility		$854.47	$946.15	$1,030.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $470.18 / $916.31 / $916.31	Professional		$470.18	$916.31	$916.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.20 / $927.20 / $927.20	Facility		$927.20	$927.20	$927.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.79 / $1,070.35 / $2,058.60	Professional		$779.79	$1,070.35	$2,058.60
United Facility/Professional Professional Modifier Low / Median / High Price $577.14 / $914.56 / $1,222.92	Professional		$577.14	$914.56	$1,222.92