Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.44 / $1,067.38 / $1,700.00	Facility		$684.44	$1,067.38	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.65 / $733.59 / $953.54	Professional		$677.65	$733.59	$953.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.39 / $826.61 / $900.60	Facility		$741.39	$826.61	$900.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.83 / $800.53 / $800.53	Professional		$410.83	$800.53	$800.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $795.67 / $795.67	Facility		$795.67	$795.67	$795.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.54 / $1,976.83	Professional		$676.08	$933.54	$1,976.83
United Facility/Professional Professional Modifier Low / Median / High Price $473.56 / $717.14 / $1,071.18	Professional		$473.56	$717.14	$1,071.18