Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.83 / $1,400.00 / $1,700.00	Facility		$987.83	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.07 / $993.94 / $1,505.70	Professional		$987.07	$993.94	$1,505.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,070.20 / $1,177.51 / $1,282.91	Facility		$1,070.20	$1,177.51	$1,282.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.08 / $1,140.35 / $1,140.35	Professional		$585.08	$1,140.35	$1,140.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.08 / $1,145.08 / $1,145.08	Facility		$1,145.08	$1,145.08	$1,145.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.06 / $1,299.94 / $2,961.21	Professional		$968.06	$1,299.94	$2,961.21
United Facility/Professional Professional Modifier Low / Median / High Price $682.90 / $1,089.83 / $1,520.48	Professional		$682.90	$1,089.83	$1,520.48