Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.73 / $845.63 / $1,014.75	Facility		$554.73	$845.63	$1,014.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.38 / $554.73 / $575.03	Professional		$507.38	$554.73	$575.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.15 / $1,014.75 / $1,183.88	Facility		$744.15	$1,014.75	$1,183.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $811.80 / $913.28	Professional		$811.80	$811.80	$913.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.66 / $811.80 / $2,029.35	Facility		$549.66	$811.80	$2,029.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $968.11 / $3,260.73	Professional		$276.64	$968.11	$3,260.73
United Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $338.25 / $1,025.18	Professional		$296.95	$338.25	$1,025.18