Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.61 / $997.61 / $1,400.00	Facility		$997.61	$997.61	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.61 / $1,043.01 / $1,155.60	Professional		$997.61	$1,043.01	$1,155.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $996.02 / $1,148.65 / $1,251.48	Facility		$996.02	$1,148.65	$1,251.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,112.42 / $1,112.42 / $1,112.42	Professional		$1,112.42	$1,112.42	$1,112.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.51 / $1,069.51 / $1,069.51	Facility		$1,069.51	$1,069.51	$1,069.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $884.61 / $1,476.78 / $6,145.82	Professional		$884.61	$1,476.78	$6,145.82
United Facility/Professional Professional Modifier Low / Median / High Price $804.98 / $1,205.09 / $1,927.03	Professional		$804.98	$1,205.09	$1,927.03