Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.16 / $865.16 / $1,700.00	Facility		$865.16	$865.16	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.61 / $865.16 / $937.61	Professional		$794.61	$865.16	$937.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $965.12 / $1,071.88 / $1,167.82	Facility		$965.12	$1,071.88	$1,167.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.06 / $1,038.06 / $1,038.06	Professional		$1,038.06	$1,038.06	$1,038.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.23 / $1,035.23 / $1,035.23	Facility		$1,035.23	$1,035.23	$1,035.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.02 / $1,092.08 / $2,359.09	Professional		$737.02	$1,092.08	$2,359.09
United Facility/Professional Professional Modifier Low / Median / High Price $726.25 / $1,043.98 / $1,346.38	Professional		$726.25	$1,043.98	$1,346.38