Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.98 / $1,400.00 / $3,550.00	Facility		$991.98	$1,400.00	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.28 / $1,048.33 / $1,518.03	Professional		$977.28	$1,048.33	$1,518.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $985.44 / $1,060.59 / $1,288.39	Facility		$985.44	$1,060.59	$1,288.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.48 / $1,145.23 / $1,145.23	Professional		$587.48	$1,145.23	$1,145.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.13 / $1,135.13 / $1,135.13	Facility		$1,135.13	$1,135.13	$1,135.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.36 / $1,388.20 / $2,866.83	Professional		$968.36	$1,388.20	$2,866.83
United Facility/Professional Professional Modifier Low / Median / High Price $734.96 / $1,080.27 / $1,526.98	Professional		$734.96	$1,080.27	$1,526.98