Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.64 / $893.64 / $1,400.00	Facility		$893.64	$893.64	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.45 / $893.64 / $1,056.98	Professional		$860.45	$893.64	$1,056.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.11 / $1,081.31 / $1,178.09	Facility		$949.11	$1,081.31	$1,178.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.20 / $1,047.20 / $1,047.20	Professional		$1,047.20	$1,047.20	$1,047.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.62 / $1,017.62 / $1,017.62	Facility		$1,017.62	$1,017.62	$1,017.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.14 / $1,309.00 / $5,426.02	Professional		$859.14	$1,309.00	$5,426.02
United Facility/Professional Professional Modifier Low / Median / High Price $717.64 / $1,067.98 / $1,483.12	Professional		$717.64	$1,067.98	$1,483.12