Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.96 / $1,400.00 / $2,600.00	Facility		$1,010.96	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.26 / $1,093.58 / $1,715.85	Professional		$994.26	$1,093.58	$1,715.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $996.08 / $1,085.23 / $1,302.29	Facility		$996.08	$1,085.23	$1,302.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.85 / $1,157.58 / $1,157.58	Professional		$593.85	$1,157.58	$1,157.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,166.55 / $1,166.55 / $1,166.55	Facility		$1,166.55	$1,166.55	$1,166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.50 / $1,513.41 / $3,160.87	Professional		$995.50	$1,513.41	$3,160.87
United Facility/Professional Professional Modifier Low / Median / High Price $795.97 / $1,298.98 / $1,853.77	Professional		$795.97	$1,298.98	$1,853.77