Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.80 / $878.80 / $1,400.00	Facility		$878.80	$878.80	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.71 / $927.91 / $1,057.79	Professional		$825.71	$927.91	$1,057.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.65 / $1,098.56 / $1,196.91	Facility		$990.65	$1,098.56	$1,196.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,063.92 / $1,063.92 / $1,063.92	Professional		$1,063.92	$1,063.92	$1,063.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,059.11 / $1,059.11 / $1,059.11	Facility		$1,059.11	$1,059.11	$1,059.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.71 / $1,329.90 / $5,539.88	Professional		$907.71	$1,329.90	$5,539.88
United Facility/Professional Professional Modifier Low / Median / High Price $756.90 / $1,185.86 / $1,643.03	Professional		$756.90	$1,185.86	$1,643.03