Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.75 / $1,384.38 / $2,300.00	Facility		$890.75	$1,384.38	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.49 / $946.20 / $1,356.63	Professional		$878.49	$946.20	$1,356.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $959.72 / $1,072.09 / $1,168.07	Facility		$959.72	$1,072.09	$1,168.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.71 / $1,038.29 / $1,038.29	Professional		$532.71	$1,038.29	$1,038.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,027.05 / $1,027.05 / $1,027.05	Facility		$1,027.05	$1,027.05	$1,027.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.63 / $1,297.85 / $2,577.34	Professional		$875.63	$1,297.85	$2,577.34
United Facility/Professional Professional Modifier Low / Median / High Price $688.64 / $1,136.88 / $1,427.65	Professional		$688.64	$1,136.88	$1,427.65