Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.85 / $881.85 / $1,700.00	Facility		$881.85	$881.85	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.54 / $881.85 / $956.92	Professional		$810.54	$881.85	$956.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.35 / $1,092.00 / $1,189.76	Facility		$983.35	$1,092.00	$1,189.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,057.56 / $1,057.56 / $1,057.56	Professional		$1,057.56	$1,057.56	$1,057.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,055.32 / $1,055.32 / $1,055.32	Facility		$1,055.32	$1,055.32	$1,055.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.33 / $1,114.08 / $2,350.60	Professional		$751.33	$1,114.08	$2,350.60
United Facility/Professional Professional Modifier Low / Median / High Price $727.82 / $1,082.64 / $1,402.19	Professional		$727.82	$1,082.64	$1,402.19