Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.38 / $973.38 / $1,400.00	Facility		$973.38	$973.38	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.97 / $1,026.84 / $1,171.63	Professional		$913.97	$1,026.84	$1,171.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,096.10 / $1,215.89 / $1,324.73	Facility		$1,096.10	$1,215.89	$1,324.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,177.54 / $1,177.54 / $1,177.54	Professional		$1,177.54	$1,177.54	$1,177.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.29 / $1,172.29 / $1,172.29	Facility		$1,172.29	$1,172.29	$1,172.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.40 / $1,471.92 / $6,094.41	Professional		$1,003.40	$1,471.92	$6,094.41
United Facility/Professional Professional Modifier Low / Median / High Price $840.10 / $1,316.08 / $1,830.44	Professional		$840.10	$1,316.08	$1,830.44