Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.10 / $1,396.48 / $2,600.00	Facility		$914.10	$1,396.48	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.04 / $914.10 / $1,129.81	Professional		$783.04	$914.10	$1,129.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $901.23 / $973.05 / $1,178.28	Facility		$901.23	$973.05	$1,178.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.49 / $1,047.35 / $1,047.35	Professional		$537.49	$1,047.35	$1,047.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.02 / $1,200.22 / $2,330.61	Professional		$770.02	$1,200.22	$2,330.61
United Facility/Professional Professional Modifier Low / Median / High Price $698.24 / $1,005.46 / $1,520.20	Professional		$698.24	$1,005.46	$1,520.20