Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.54 / $1,121.25 / $1,345.50	Facility		$735.54	$1,121.25	$1,345.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $735.54 / $762.45	Professional		$672.75	$735.54	$762.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $986.70 / $1,345.50 / $1,569.75	Facility		$986.70	$1,345.50	$1,569.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,076.40 / $1,210.95	Professional		$1,076.40	$1,076.40	$1,210.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.81 / $1,076.40 / $2,690.78	Facility		$728.81	$1,076.40	$2,690.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,288.56 / $4,323.54	Professional		$1,030.84	$1,288.56	$4,323.54
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $448.50 / $1,300.65	Professional		$376.74	$448.50	$1,300.65