Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.37 / $1,192.13 / $1,600.00	Facility		$764.37	$1,192.13	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.31 / $817.02 / $1,128.66	Professional		$757.31	$817.02	$1,128.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $827.46 / $923.22 / $1,005.86	Facility		$827.46	$923.22	$1,005.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.83 / $894.10 / $894.10	Professional		$458.83	$894.10	$894.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.81 / $886.81 / $886.81	Facility		$886.81	$886.81	$886.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.16 / $1,005.85 / $2,221.38	Professional		$755.16	$1,005.85	$2,221.38
United Facility/Professional Professional Modifier Low / Median / High Price $539.41 / $876.27 / $1,323.38	Professional		$539.41	$876.27	$1,323.38