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 $896.40 / $965.80 / $1,192.44	Professional		$896.40	$965.80	$1,192.44
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 / $1,319.70 / $2,632.17	Professional		$893.38	$1,319.70	$2,632.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,482.00 / $4,482.00 / $4,482.00	Facility		$4,482.00	$4,482.00	$4,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.68 / $1,030.41 / $1,458.24	Professional		$699.68	$1,030.41	$1,458.24