Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.36 / $937.36 / $1,400.00	Facility		$937.36	$937.36	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.36 / $937.36 / $1,112.29	Professional		$902.36	$937.36	$1,112.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $998.57 / $1,135.55 / $1,237.19	Facility		$998.57	$1,135.55	$1,237.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,099.73 / $1,099.73 / $1,099.73	Professional		$1,099.73	$1,099.73	$1,099.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.59 / $1,062.59 / $1,062.59	Facility		$1,062.59	$1,062.59	$1,062.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.06 / $1,374.66 / $5,561.93	Professional		$905.06	$1,374.66	$5,561.93
United Facility/Professional Professional Modifier Low / Median / High Price $739.75 / $1,071.95 / $1,529.80	Professional		$739.75	$1,071.95	$1,529.80