Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.78 / $864.78 / $2,600.00	Facility		$864.78	$864.78	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.78 / $891.82 / $1,152.36	Professional		$864.78	$891.82	$1,152.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.81 / $1,033.54 / $1,126.05	Facility		$949.81	$1,033.54	$1,126.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.93 / $1,000.93 / $1,000.93	Professional		$1,000.93	$1,000.93	$1,000.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.67 / $1,042.67 / $1,042.67	Facility		$1,042.67	$1,042.67	$1,042.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.42 / $1,251.17 / $4,384.89	Professional		$910.42	$1,251.17	$4,384.89
United Facility/Professional Professional Modifier Low / Median / High Price $661.80 / $988.28 / $1,443.55	Professional		$661.80	$988.28	$1,443.55