Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.84 / $964.84 / $2,600.00	Facility		$964.84	$964.84	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.84 / $978.41 / $1,237.80	Professional		$964.84	$978.41	$1,237.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,032.84 / $1,133.68 / $1,235.16	Facility		$1,032.84	$1,133.68	$1,235.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,097.92 / $1,097.92 / $1,097.92	Professional		$1,097.92	$1,097.92	$1,097.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,128.52 / $1,128.52 / $1,128.52	Facility		$1,128.52	$1,128.52	$1,128.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.82 / $1,372.40 / $4,702.56	Professional		$973.82	$1,372.40	$4,702.56
United Facility/Professional Professional Modifier Low / Median / High Price $748.37 / $1,078.16 / $1,584.77	Professional		$748.37	$1,078.16	$1,584.77