Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.03 / $1,400.00 / $2,600.00	Facility		$991.03	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.03 / $1,042.48 / $1,509.70	Professional		$991.03	$1,042.48	$1,509.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $985.30 / $1,075.08 / $1,288.20	Facility		$985.30	$1,075.08	$1,288.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.48 / $1,145.06 / $1,145.06	Professional		$587.48	$1,145.06	$1,145.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.48 / $1,146.48 / $1,146.48	Facility		$1,146.48	$1,146.48	$1,146.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.83 / $1,431.33 / $2,961.68	Professional		$975.83	$1,431.33	$2,961.68
United Facility/Professional Professional Modifier Low / Median / High Price $783.95 / $1,228.45 / $1,709.98	Professional		$783.95	$1,228.45	$1,709.98