Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.21 / $1,400.00 / $2,600.00	Facility		$948.21	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.21 / $1,007.04 / $1,413.31	Professional		$948.21	$1,007.04	$1,413.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,017.79 / $1,137.22 / $1,239.02	Facility		$1,017.79	$1,137.22	$1,239.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $564.97 / $1,101.34 / $1,101.34	Professional		$564.97	$1,101.34	$1,101.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.18 / $1,089.18 / $1,089.18	Facility		$1,089.18	$1,089.18	$1,089.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.62 / $1,376.68 / $2,705.57	Professional		$929.62	$1,376.68	$2,705.57
United Facility/Professional Professional Modifier Low / Median / High Price $739.51 / $1,093.67 / $1,623.81	Professional		$739.51	$1,093.67	$1,623.81