Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.79 / $1,400.00 / $2,600.00	Facility		$955.79	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.61 / $955.79 / $1,178.04	Professional		$868.61	$955.79	$1,178.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $940.94 / $1,014.25 / $1,230.20	Facility		$940.94	$1,014.25	$1,230.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $561.19 / $1,093.51 / $1,093.51	Professional		$561.19	$1,093.51	$1,093.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $1,084.92 / $1,084.92	Facility		$1,084.92	$1,084.92	$1,084.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.05 / $1,270.73 / $2,441.96	Professional		$800.05	$1,270.73	$2,441.96
United Facility/Professional Professional Modifier Low / Median / High Price $742.66 / $1,057.81 / $1,584.66	Professional		$742.66	$1,057.81	$1,584.66