Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.43 / $880.43 / $1,700.00	Facility		$880.43	$880.43	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.26 / $935.03 / $966.48	Professional		$806.26	$935.03	$966.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.38 / $983.38 / $1,192.11	Facility		$983.38	$983.38	$1,192.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,059.66 / $1,059.66 / $1,059.66	Professional		$1,059.66	$1,059.66	$1,059.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.33 / $1,052.33 / $1,052.33	Facility		$1,052.33	$1,052.33	$1,052.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.18 / $1,107.70 / $2,456.07	Professional		$880.18	$1,107.70	$2,456.07
United Facility/Professional Professional Modifier Low / Median / High Price $745.43 / $1,111.14 / $1,386.32	Professional		$745.43	$1,111.14	$1,386.32