Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.17 / $1,374.46 / $1,700.00	Facility		$905.17	$1,374.46	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.17 / $996.98 / $1,313.82	Professional		$905.17	$996.98	$1,313.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,064.42 / $1,064.42 / $1,159.70	Facility		$1,064.42	$1,064.42	$1,159.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $528.73 / $1,030.84 / $1,030.84	Professional		$528.73	$1,030.84	$1,030.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.59 / $1,050.59 / $1,050.59	Facility		$1,050.59	$1,050.59	$1,050.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.90 / $1,288.56 / $2,425.63	Professional		$892.90	$1,288.56	$2,425.63
United Facility/Professional Professional Modifier Low / Median / High Price $701.94 / $1,038.03 / $1,534.12	Professional		$701.94	$1,038.03	$1,534.12