Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.06 / $1,400.00 / $2,600.00	Facility		$909.06	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $965.80 / $1,381.20	Professional		$787.82	$965.80	$1,381.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $979.85 / $1,095.07 / $1,193.09	Facility		$979.85	$1,095.07	$1,193.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $544.05 / $1,060.54 / $1,060.54	Professional		$544.05	$1,060.54	$1,060.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.38 / $1,325.67 / $2,632.17	Professional		$893.38	$1,325.67	$2,632.17
United Facility/Professional Professional Modifier Low / Median / High Price $708.53 / $1,004.20 / $1,480.02	Professional		$708.53	$1,004.20	$1,480.02