Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.41 / $912.41 / $1,400.00	Facility		$912.41	$912.41	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.68 / $912.41 / $1,077.41	Professional		$878.68	$912.41	$1,077.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $967.66 / $1,102.80 / $1,201.51	Facility		$967.66	$1,102.80	$1,201.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,068.01 / $1,068.01 / $1,068.01	Professional		$1,068.01	$1,068.01	$1,068.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.51 / $1,036.51 / $1,036.51	Facility		$1,036.51	$1,036.51	$1,036.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.62 / $1,335.01 / $5,495.80	Professional		$875.62	$1,335.01	$5,495.80
United Facility/Professional Professional Modifier Low / Median / High Price $724.57 / $1,049.25 / $1,500.45	Professional		$724.57	$1,049.25	$1,500.45