Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.53 / $972.53 / $1,487.26	Facility		$972.53	$972.53	$1,487.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.68 / $972.53 / $1,168.91	Professional		$848.68	$972.53	$1,168.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.10 / $1,151.77 / $1,254.88	Facility		$1,012.10	$1,151.77	$1,254.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.14 / $1,115.45 / $1,115.45	Professional		$572.14	$1,115.45	$1,115.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.58 / $1,082.58 / $1,082.58	Facility		$1,082.58	$1,082.58	$1,082.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.57 / $1,285.34 / $2,667.85	Professional		$830.57	$1,285.34	$2,667.85
United Facility/Professional Professional Modifier Low / Median / High Price $743.63 / $1,003.90 / $1,535.34	Professional		$743.63	$1,003.90	$1,535.34