Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.35 / $963.35 / $1,400.00	Facility		$963.35	$963.35	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.35 / $1,023.11 / $1,154.33	Professional		$963.35	$1,023.11	$1,154.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.26 / $1,117.26 / $1,217.28	Facility		$977.26	$1,117.26	$1,217.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,082.03 / $1,082.03 / $1,082.03	Professional		$1,082.03	$1,082.03	$1,082.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.91 / $1,047.91 / $1,047.91	Facility		$1,047.91	$1,047.91	$1,047.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.78 / $1,434.35 / $4,327.09	Professional		$879.78	$1,434.35	$4,327.09
United Facility/Professional Professional Modifier Low / Median / High Price $774.30 / $1,242.97 / $1,722.44	Professional		$774.30	$1,242.97	$1,722.44