Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.35 / $847.35 / $2,300.00	Facility		$847.35	$847.35	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.57 / $847.35 / $922.51	Professional		$780.57	$847.35	$922.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $943.74 / $1,046.76 / $1,140.45	Facility		$943.74	$1,046.76	$1,140.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,013.74 / $1,013.74 / $1,013.74	Professional		$1,013.74	$1,013.74	$1,013.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,014.77 / $1,014.77	Facility		$1,014.77	$1,014.77	$1,014.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.58 / $1,073.19 / $2,299.98	Professional		$722.58	$1,073.19	$2,299.98
United Facility/Professional Professional Modifier Low / Median / High Price $706.45 / $1,050.83 / $1,275.83	Professional		$706.45	$1,050.83	$1,275.83