Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.09 / $1,400.00 / $1,600.00	Facility		$334.09	$1,400.00	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $535.73 / $2,094.32	Professional		$284.02	$535.73	$2,094.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.52 / $400.87 / $562.04	Facility		$346.52	$400.87	$562.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $388.22 / $388.22	Professional		$388.22	$388.22	$388.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.94 / $1,468.49 / $3,812.47	Professional		$384.94	$1,468.49	$3,812.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,261.38 / $2,178.56 / $3,691.93	Professional		$1,261.38	$2,178.56	$3,691.93