Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.01 / $938.01 / $1,400.00	Facility		$938.01	$938.01	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.01 / $986.55 / $1,095.67	Professional		$938.01	$986.55	$1,095.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.83 / $1,084.67 / $1,181.76	Facility		$942.83	$1,084.67	$1,181.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,050.46 / $1,050.46 / $1,050.46	Professional		$1,050.46	$1,050.46	$1,050.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,011.20 / $1,011.20 / $1,011.20	Facility		$1,011.20	$1,011.20	$1,011.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.82 / $1,392.84 / $5,820.82	Professional		$840.82	$1,392.84	$5,820.82
United Facility/Professional Professional Modifier Low / Median / High Price $754.91 / $1,149.68 / $1,754.66	Professional		$754.91	$1,149.68	$1,754.66