Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.96 / $1,063.42 / $1,063.42	Facility		$609.96	$1,063.42	$1,063.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,063.42 / $1,105.53	Professional		$1,052.89	$1,063.42	$1,105.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,579.34	Facility		$1,052.89	$1,052.89	$1,579.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $2,441.17	Professional		$1,052.89	$1,052.89	$2,441.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.30 / $848.30 / $1,052.89	Facility		$848.30	$848.30	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
United Facility/Professional Professional Modifier Low / Median / High Price $997.27 / $1,052.89 / $1,524.90	Professional		$997.27	$1,052.89	$1,524.90