Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.45 / $1,400.00 / $1,700.00	Facility		$905.45	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.43 / $961.04 / $1,374.00	Professional		$892.43	$961.04	$1,374.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $974.90 / $1,089.65 / $1,187.19	Facility		$974.90	$1,089.65	$1,187.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.47 / $1,055.28 / $1,055.28	Professional		$541.47	$1,055.28	$1,055.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.67 / $1,042.67 / $1,042.67	Facility		$1,042.67	$1,042.67	$1,042.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.34 / $1,393.67 / $2,620.31	Professional		$889.34	$1,393.67	$2,620.31
United Facility/Professional Professional Modifier Low / Median / High Price $736.58 / $1,132.49 / $1,777.91	Professional		$736.58	$1,132.49	$1,777.91