Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.45 / $964.45 / $1,600.00	Facility		$964.45	$964.45	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.45 / $985.15 / $1,242.61	Professional		$964.45	$985.15	$1,242.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,051.95 / $1,153.76 / $1,257.04	Facility		$1,051.95	$1,153.76	$1,257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,117.36 / $1,117.36 / $1,117.36	Professional		$1,117.36	$1,117.36	$1,117.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.02 / $1,139.02 / $1,139.02	Facility		$1,139.02	$1,139.02	$1,139.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.14 / $1,396.71 / $5,853.85	Professional		$993.14	$1,396.71	$5,853.85
United Facility/Professional Professional Modifier Low / Median / High Price $750.50 / $1,091.20 / $1,599.54	Professional		$750.50	$1,091.20	$1,599.54