Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.33 / $1,050.81 / $1,260.98	Facility		$689.33	$1,050.81	$1,260.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.49 / $689.33 / $714.55	Professional		$630.49	$689.33	$714.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $924.72 / $1,260.98 / $1,471.14	Facility		$924.72	$1,260.98	$1,471.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.78 / $1,008.78 / $1,134.88	Professional		$1,008.78	$1,008.78	$1,134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.03 / $1,008.78 / $2,521.73	Facility		$683.03	$1,008.78	$2,521.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,207.51 / $4,051.93	Professional		$966.01	$1,207.51	$4,051.93
United Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $353.07 / $856.38	Professional		$248.06	$353.07	$856.38