Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.81 / $1,400.00 / $2,600.00	Facility		$984.81	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.45 / $984.81 / $1,352.72	Professional		$829.45	$984.81	$1,352.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,022.63 / $1,164.36 / $1,268.60	Facility		$1,022.63	$1,164.36	$1,268.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $578.71 / $1,127.65 / $1,127.65	Professional		$578.71	$1,127.65	$1,127.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.99 / $1,094.99 / $1,094.99	Facility		$1,094.99	$1,094.99	$1,094.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.66 / $1,288.06 / $2,709.97	Professional		$824.66	$1,288.06	$2,709.97
United Facility/Professional Professional Modifier Low / Median / High Price $747.19 / $1,091.41 / $1,617.64	Professional		$747.19	$1,091.41	$1,617.64