Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.17 / $1,068.17 / $1,700.00	Facility		$1,068.17	$1,068.17	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.62 / $1,068.17 / $1,143.78	Professional		$973.62	$1,068.17	$1,143.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.82 / $1,176.82 / $1,436.31	Facility		$1,176.82	$1,176.82	$1,436.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,276.72 / $1,276.72 / $1,276.72	Professional		$1,276.72	$1,276.72	$1,276.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,262.76 / $1,262.76 / $1,262.76	Facility		$1,262.76	$1,262.76	$1,262.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.51 / $1,337.53 / $2,953.23	Professional		$904.51	$1,337.53	$2,953.23
United Facility/Professional Professional Modifier Low / Median / High Price $824.88 / $1,099.83 / $1,702.29	Professional		$824.88	$1,099.83	$1,702.29