Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.62 / $884.62 / $1,700.00	Facility		$884.62	$884.62	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.42 / $884.62 / $959.70	Professional		$810.42	$884.62	$959.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $995.89 / $1,105.11 / $1,204.05	Facility		$995.89	$1,105.11	$1,204.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,070.27 / $1,070.27 / $1,070.27	Professional		$1,070.27	$1,070.27	$1,070.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.83 / $1,069.83 / $1,069.83	Facility		$1,069.83	$1,069.83	$1,069.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.73 / $1,113.80 / $2,381.67	Professional		$761.73	$1,113.80	$2,381.67
United Facility/Professional Professional Modifier Low / Median / High Price $732.33 / $1,052.72 / $1,448.30	Professional		$732.33	$1,052.72	$1,448.30