Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.14 / $1,400.00 / $2,600.00	Facility		$926.14	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.64 / $982.57 / $1,398.71	Professional		$912.64	$982.57	$1,398.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $997.92 / $1,115.90 / $1,215.80	Facility		$997.92	$1,115.90	$1,215.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $554.41 / $1,080.71 / $1,080.71	Professional		$554.41	$1,080.71	$1,080.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.85 / $1,066.85 / $1,066.85	Facility		$1,066.85	$1,066.85	$1,066.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.39 / $1,379.70 / $2,626.17	Professional		$909.39	$1,379.70	$2,626.17
United Facility/Professional Professional Modifier Low / Median / High Price $741.53 / $1,061.43 / $1,509.92	Professional		$741.53	$1,061.43	$1,509.92