Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.52 / $979.52 / $1,400.00	Facility		$979.52	$979.52	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.80 / $979.52 / $1,062.59	Professional		$877.80	$979.52	$1,062.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $993.40 / $1,132.54 / $1,233.91	Facility		$993.40	$1,132.54	$1,233.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.81 / $1,096.81 / $1,096.81	Professional		$1,096.81	$1,096.81	$1,096.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,059.64 / $1,059.64 / $1,059.64	Facility		$1,059.64	$1,059.64	$1,059.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.48 / $1,371.02 / $5,279.14	Professional		$898.48	$1,371.02	$5,279.14
United Facility/Professional Professional Modifier Low / Median / High Price $731.21 / $1,075.89 / $1,518.49	Professional		$731.21	$1,075.89	$1,518.49