Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.75 / $1,344.14 / $1,700.00	Facility		$862.75	$1,344.14	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.75 / $918.93 / $1,317.04	Professional		$862.75	$918.93	$1,317.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.29 / $1,040.94 / $1,134.11	Facility		$932.29	$1,040.94	$1,134.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $517.16 / $1,008.11 / $1,008.11	Professional		$517.16	$1,008.11	$1,008.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $998.04 / $998.04	Facility		$998.04	$998.04	$998.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.55 / $1,242.76 / $2,511.19	Professional		$850.55	$1,242.76	$2,511.19
United Facility/Professional Professional Modifier Low / Median / High Price $601.51 / $948.22 / $1,344.14	Professional		$601.51	$948.22	$1,344.14