Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $871.93 / $1,700.00	Facility		$871.93	$871.93	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.33 / $921.15 / $1,051.09	Professional		$819.33	$921.15	$1,051.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $1,090.16 / $1,187.74	Facility		$983.16	$1,090.16	$1,187.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,055.77 / $1,055.77 / $1,055.77	Professional		$1,055.77	$1,055.77	$1,055.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.40 / $1,051.40 / $1,051.40	Facility		$1,051.40	$1,051.40	$1,051.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.93 / $1,319.72 / $6,017.29	Professional		$900.93	$1,319.72	$6,017.29
United Facility/Professional Professional Modifier Low / Median / High Price $749.39 / $1,077.25 / $1,625.24	Professional		$749.39	$1,077.25	$1,625.24