Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.31 / $920.31 / $1,400.00	Facility		$920.31	$920.31	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.31 / $976.42 / $1,109.71	Professional		$920.31	$976.42	$1,109.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.20 / $1,062.92 / $1,158.07	Facility		$935.20	$1,062.92	$1,158.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,029.40 / $1,029.40 / $1,029.40	Professional		$1,029.40	$1,029.40	$1,029.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.54 / $1,000.54 / $1,000.54	Facility		$1,000.54	$1,000.54	$1,000.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.75 / $1,286.75 / $5,853.85	Professional		$846.75	$1,286.75	$5,853.85
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.01 / $1,107.11 / $1,531.91	Professional		$736.01	$1,107.11	$1,531.91