Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.32 / $998.32 / $1,400.00	Facility		$998.32	$998.32	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.32 / $1,044.51 / $1,156.40	Professional		$998.32	$1,044.51	$1,156.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $997.42 / $1,150.33 / $1,253.30	Facility		$997.42	$1,150.33	$1,253.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,114.04 / $1,114.04 / $1,114.04	Professional		$1,114.04	$1,114.04	$1,114.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.02 / $1,071.02 / $1,071.02	Facility		$1,071.02	$1,071.02	$1,071.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.85 / $1,478.94 / $6,134.81	Professional		$885.85	$1,478.94	$6,134.81
United Facility/Professional Professional Modifier Low / Median / High Price $805.80 / $1,248.54 / $2,085.48	Professional		$805.80	$1,248.54	$2,085.48