Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.09 / $1,214.14 / $1,600.00	Facility		$724.09	$1,214.14	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.88 / $820.77 / $1,303.52	Professional		$722.88	$820.77	$1,303.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $940.26 / $1,024.43	Facility		$842.00	$940.26	$1,024.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.19 / $910.61 / $910.61	Professional		$467.19	$910.61	$910.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.63 / $1,138.26 / $2,255.78	Professional		$767.63	$1,138.26	$2,255.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.90 / $907.00 / $1,252.08	Professional		$593.90	$907.00	$1,252.08