Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.24 / $909.24 / $1,700.00	Facility		$909.24	$909.24	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.83 / $909.24 / $965.85	Professional		$826.83	$909.24	$965.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.79 / $1,154.30 / $1,257.63	Facility		$1,037.79	$1,154.30	$1,257.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,117.90 / $1,117.90 / $1,117.90	Professional		$1,117.90	$1,117.90	$1,117.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.75 / $1,110.75 / $1,110.75	Facility		$1,110.75	$1,110.75	$1,110.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.84 / $1,135.48 / $2,491.94	Professional		$791.84	$1,135.48	$2,491.94
United Facility/Professional Professional Modifier Low / Median / High Price $763.40 / $1,097.39 / $1,466.10	Professional		$763.40	$1,097.39	$1,466.10