Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.13 / $843.13 / $1,700.00	Facility		$843.13	$843.13	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.52 / $897.23 / $914.75	Professional		$773.52	$897.23	$914.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.35 / $942.35 / $1,141.38	Facility		$942.35	$942.35	$1,141.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.56 / $1,014.56 / $1,014.56	Professional		$1,014.56	$1,014.56	$1,014.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.93 / $1,062.95 / $2,337.06	Professional		$718.93	$1,062.95	$2,337.06
United Facility/Professional Professional Modifier Low / Median / High Price $711.10 / $1,053.53 / $1,313.70	Professional		$711.10	$1,053.53	$1,313.70