Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.19 / $1,167.52 / $1,400.00	Facility		$664.19	$1,167.52	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.19 / $790.80 / $1,164.13	Professional		$664.19	$790.80	$1,164.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.72 / $904.16 / $985.10	Facility		$812.72	$904.16	$985.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.27 / $875.64 / $875.64	Professional		$449.27	$875.64	$875.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.78 / $1,094.55 / $2,067.52	Professional		$742.78	$1,094.55	$2,067.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.17 / $925.30 / $1,194.90	Professional		$578.17	$925.30	$1,194.90