Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.31 / $1,249.66 / $1,249.66	Facility		$833.31	$1,249.66	$1,249.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,249.66 / $1,299.15	Professional		$1,237.28	$1,249.66	$1,299.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,855.92	Facility		$1,237.28	$1,237.28	$1,855.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $2,868.69	Professional		$1,237.28	$1,237.28	$2,868.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.25 / $1,428.00 / $1,428.00	Facility		$1,167.25	$1,428.00	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.16 / $1,237.28 / $1,679.60	Professional		$1,200.16	$1,237.28	$1,679.60