Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.29 / $1,400.00 / $2,600.00	Facility		$973.29	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.29 / $1,049.35 / $1,555.53	Professional		$973.29	$1,049.35	$1,555.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $968.49 / $1,061.41 / $1,266.22	Facility		$968.49	$1,061.41	$1,266.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $577.52 / $1,125.53 / $1,125.53	Professional		$577.52	$1,125.53	$1,125.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.56 / $1,134.56 / $1,134.56	Facility		$1,134.56	$1,134.56	$1,134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.79 / $1,459.39 / $2,927.51	Professional		$968.79	$1,459.39	$2,927.51
United Facility/Professional Professional Modifier Low / Median / High Price $785.87 / $1,186.59 / $1,634.08	Professional		$785.87	$1,186.59	$1,634.08