Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.71 / $1,400.00 / $1,600.00	Facility		$994.71	$1,400.00	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.79 / $1,045.34 / $1,529.50	Professional		$975.79	$1,045.34	$1,529.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.70 / $1,063.39 / $1,295.26	Facility		$990.70	$1,063.39	$1,295.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $590.66 / $1,151.33 / $1,151.33	Professional		$590.66	$1,151.33	$1,151.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $1,140.59	Facility		$1,140.59	$1,140.59	$1,140.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.87 / $1,526.49 / $2,924.18	Professional		$971.87	$1,526.49	$2,924.18
United Facility/Professional Professional Modifier Low / Median / High Price $813.41 / $1,291.04 / $1,728.49	Professional		$813.41	$1,291.04	$1,728.49