Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.94 / $1,057.83 / $1,269.41	Facility		$693.94	$1,057.83	$1,269.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $693.94 / $719.33	Professional		$634.70	$693.94	$719.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,142.46 / $1,396.35	Facility		$846.27	$1,142.46	$1,396.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,142.46 / $1,142.46	Professional		$846.27	$1,142.46	$1,142.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $2,094.25 / $4,614.88	Facility		$687.60	$2,094.25	$4,614.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,079.02 / $4,079.02 / $4,079.02	Professional		$4,079.02	$4,079.02	$4,079.02
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $423.14 / $1,354.03	Professional		$355.43	$423.14	$1,354.03