Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.60 / $964.60 / $1,400.00	Facility		$964.60	$964.60	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.60 / $1,008.47 / $1,116.20	Professional		$964.60	$1,008.47	$1,116.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $963.49 / $1,111.67 / $1,211.18	Facility		$963.49	$1,111.67	$1,211.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,076.59 / $1,076.59 / $1,076.59	Professional		$1,076.59	$1,076.59	$1,076.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.14 / $1,034.14 / $1,034.14	Facility		$1,034.14	$1,034.14	$1,034.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.19 / $1,380.88 / $4,500.59	Professional		$855.19	$1,380.88	$4,500.59
United Facility/Professional Professional Modifier Low / Median / High Price $779.30 / $1,092.78 / $1,612.76	Professional		$779.30	$1,092.78	$1,612.76