Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.15 / $1,400.00 / $2,300.00	Facility		$907.15	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.33 / $959.85 / $1,384.18	Professional		$893.33	$959.85	$1,384.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $976.42 / $1,092.13 / $1,189.89	Facility		$976.42	$1,092.13	$1,189.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $1,057.68 / $1,057.68	Professional		$542.66	$1,057.68	$1,057.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.95 / $1,354.54 / $2,646.78	Professional		$889.95	$1,354.54	$2,646.78
United Facility/Professional Professional Modifier Low / Median / High Price $740.54 / $1,101.55 / $1,500.02	Professional		$740.54	$1,101.55	$1,500.02