Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.33 / $1,002.03 / $1,202.43	Facility		$657.33	$1,002.03	$1,202.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.22 / $649.30 / $657.33	Professional		$601.22	$649.30	$657.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.78 / $1,082.19 / $1,202.43	Facility		$881.78	$1,082.19	$1,202.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $961.94 / $961.94 / $1,082.19	Professional		$961.94	$961.94	$1,082.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.30 / $961.94 / $2,404.65	Facility		$651.30	$961.94	$2,404.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $1,151.24 / $3,863.81	Professional		$138.88	$1,151.24	$3,863.81
United Facility/Professional Professional Modifier Low / Median / High Price $193.41 / $280.57 / $649.70	Professional		$193.41	$280.57	$649.70