Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.30 / $963.30 / $2,300.00	Facility		$963.30	$963.30	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.68 / $963.30 / $1,042.82	Professional		$884.68	$963.30	$1,042.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,073.59 / $1,192.54 / $1,299.28	Facility		$1,073.59	$1,192.54	$1,299.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,154.92 / $1,154.92 / $1,154.92	Professional		$1,154.92	$1,154.92	$1,154.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.29 / $1,151.29 / $1,151.29	Facility		$1,151.29	$1,151.29	$1,151.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.63 / $1,215.84 / $2,590.02	Professional		$819.63	$1,215.84	$2,590.02
United Facility/Professional Professional Modifier Low / Median / High Price $808.99 / $1,216.04 / $1,539.89	Professional		$808.99	$1,216.04	$1,539.89