Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.88 / $1,272.30 / $2,300.00	Facility		$816.88	$1,272.30	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.88 / $872.86 / $1,226.59	Professional		$807.88	$872.86	$1,226.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $883.04 / $985.31 / $1,073.51	Facility		$883.04	$985.31	$1,073.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.50 / $954.23 / $954.23	Professional		$489.50	$954.23	$954.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $946.32	Facility		$946.32	$946.32	$946.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.65 / $1,192.79 / $2,357.98	Professional		$805.65	$1,192.79	$2,357.98
United Facility/Professional Professional Modifier Low / Median / High Price $641.10 / $1,034.41 / $1,893.75	Professional		$641.10	$1,034.41	$1,893.75