Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.15 / $1,400.00 / $1,600.00	Facility		$999.15	$1,400.00	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.15 / $1,049.34 / $1,518.63	Professional		$999.15	$1,049.34	$1,518.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,069.85 / $1,198.78 / $1,306.08	Facility		$1,069.85	$1,198.78	$1,306.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.64 / $1,160.96 / $1,160.96	Professional		$595.64	$1,160.96	$1,160.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $1,143.33 / $1,143.33	Facility		$1,143.33	$1,143.33	$1,143.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.71 / $1,430.91 / $2,927.13	Professional		$974.71	$1,430.91	$2,927.13
United Facility/Professional Professional Modifier Low / Median / High Price $723.86 / $1,137.50 / $1,596.25	Professional		$723.86	$1,137.50	$1,596.25