Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.33 / $2,804.06 / $2,804.06	Facility		$756.33	$2,804.06	$2,804.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $756.33 / $1,028.39	Professional		$748.85	$756.33	$1,028.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $1,123.28 / $1,123.28	Facility		$748.85	$1,123.28	$1,123.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $744.33 / $748.84	Facility		$706.46	$744.33	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $1,332.40	Professional		$748.84	$748.84	$1,332.40
United Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Facility		$748.84	$748.84	$748.84
United Facility/Professional Professional Modifier Low / Median / High Price $744.33 / $748.85 / $875.68	Professional		$744.33	$748.85	$875.68