Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.87 / $1,400.00 / $3,040.20	Facility		$748.87	$1,400.00	$3,040.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.91 / $748.87 / $880.07	Professional		$641.91	$748.87	$880.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $842.94 / $945.13 / $1,029.74	Facility		$842.94	$945.13	$1,029.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $915.32 / $915.32 / $915.32	Professional		$915.32	$915.32	$915.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.60 / $908.60 / $908.60	Facility		$908.60	$908.60	$908.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.06 / $1,130.20 / $4,928.42	Professional		$768.06	$1,130.20	$4,928.42
United Facility/Professional Professional Modifier Low / Median / High Price $642.79 / $1,053.95 / $1,444.07	Professional		$642.79	$1,053.95	$1,444.07