Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.85 / $1,273.38 / $1,700.00	Facility		$839.85	$1,273.38	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.85 / $926.24 / $1,219.17	Professional		$839.85	$926.24	$1,219.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $893.06 / $986.14 / $1,074.41	Facility		$893.06	$986.14	$1,074.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.90 / $955.03 / $955.03	Professional		$489.90	$955.03	$955.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.93 / $974.93 / $974.93	Facility		$974.93	$974.93	$974.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.36 / $1,193.78 / $2,180.17	Professional		$827.36	$1,193.78	$2,180.17
United Facility/Professional Professional Modifier Low / Median / High Price $649.96 / $989.17 / $1,381.17	Professional		$649.96	$989.17	$1,381.17