Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.42 / $870.42 / $1,700.00	Facility		$870.42	$870.42	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.57 / $926.99 / $966.86	Professional		$795.57	$926.99	$966.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $979.23 / $979.23 / $1,188.16	Facility		$979.23	$979.23	$1,188.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,056.14 / $1,056.14 / $1,056.14	Professional		$1,056.14	$1,056.14	$1,056.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.10 / $1,092.92 / $2,427.46	Professional		$748.10	$1,092.92	$2,427.46
United Facility/Professional Professional Modifier Low / Median / High Price $737.16 / $1,010.95 / $1,399.29	Professional		$737.16	$1,010.95	$1,399.29