Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.50 / $1,400.00 / $3,500.00	Facility		$1,074.50	$1,400.00	$3,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,142.59 / $1,638.59	Professional		$942.87	$1,142.59	$1,638.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,173.20 / $1,309.90 / $1,427.15	Facility		$1,173.20	$1,309.90	$1,427.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $1,268.58 / $1,268.58	Professional		$651.00	$1,268.58	$1,268.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.56 / $1,256.56 / $1,256.56	Facility		$1,256.56	$1,256.56	$1,256.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.17 / $1,585.73 / $3,142.30	Professional		$1,070.17	$1,585.73	$3,142.30
United Facility/Professional Professional Modifier Low / Median / High Price $838.05 / $1,249.86 / $1,744.30	Professional		$838.05	$1,249.86	$1,744.30