Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.45 / $1,400.00 / $1,610.43	Facility		$966.45	$1,400.00	$1,610.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.45 / $1,087.66 / $1,725.71	Professional		$966.45	$1,087.66	$1,725.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,112.27 / $1,247.16 / $1,358.80	Facility		$1,112.27	$1,247.16	$1,358.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $619.73 / $1,207.82 / $1,207.82	Professional		$619.73	$1,207.82	$1,207.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.38 / $1,189.38 / $1,189.38	Facility		$1,189.38	$1,189.38	$1,189.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.44 / $1,509.78 / $3,045.78	Professional		$1,013.44	$1,509.78	$3,045.78
United Facility/Professional Professional Modifier Low / Median / High Price $816.41 / $1,169.81 / $1,687.25	Professional		$816.41	$1,169.81	$1,687.25