Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.99 / $1,164.18 / $1,700.00	Facility		$863.99	$1,164.18	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.59 / $1,114.43 / $1,177.66	Professional		$857.59	$1,114.43	$1,177.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $855.68 / $920.88 / $1,118.73	Facility		$855.68	$920.88	$1,118.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $994.43 / $994.43 / $994.43	Professional		$994.43	$994.43	$994.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,476.62 / $1,476.62 / $1,476.62	Facility		$1,476.62	$1,476.62	$1,476.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.41 / $1,322.00 / $4,116.04	Professional		$936.41	$1,322.00	$4,116.04
United Facility/Professional Professional Modifier Low / Median / High Price $865.88 / $1,269.96 / $1,906.58	Professional		$865.88	$1,269.96	$1,906.58