Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.42 / $994.42 / $3,550.00	Facility		$994.42	$994.42	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $994.42 / $1,188.83	Professional		$863.37	$994.42	$1,188.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,063.94 / $1,184.30 / $1,290.33	Facility		$1,063.94	$1,184.30	$1,290.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,146.96 / $1,146.96 / $1,146.96	Professional		$1,146.96	$1,146.96	$1,146.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.90 / $1,137.90 / $1,137.90	Facility		$1,137.90	$1,137.90	$1,137.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.88 / $1,242.53 / $2,488.48	Professional		$839.88	$1,242.53	$2,488.48
United Facility/Professional Professional Modifier Low / Median / High Price $802.94 / $1,165.92 / $1,554.56	Professional		$802.94	$1,165.92	$1,554.56