Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.41 / $1,372.11 / $2,600.00	Facility		$881.41	$1,372.11	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.34 / $936.90 / $1,338.92	Professional		$870.34	$936.90	$1,338.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $951.20 / $1,062.59 / $1,157.72	Facility		$951.20	$1,062.59	$1,157.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $527.92 / $1,029.08 / $1,029.08	Professional		$527.92	$1,029.08	$1,029.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.12 / $1,018.12 / $1,018.12	Facility		$1,018.12	$1,018.12	$1,018.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.56 / $1,286.35 / $2,551.35	Professional		$867.56	$1,286.35	$2,551.35
United Facility/Professional Professional Modifier Low / Median / High Price $682.16 / $1,066.67 / $1,414.99	Professional		$682.16	$1,066.67	$1,414.99