Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.22 / $909.22 / $1,400.00	Facility		$909.22	$909.22	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.39 / $941.36 / $1,084.43	Professional		$851.39	$941.36	$1,084.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,004.62 / $1,114.09 / $1,213.83	Facility		$1,004.62	$1,114.09	$1,213.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,078.96 / $1,078.96 / $1,078.96	Professional		$1,078.96	$1,078.96	$1,078.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,074.50 / $1,074.50 / $1,074.50	Facility		$1,074.50	$1,074.50	$1,074.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.37 / $1,348.70 / $5,602.30	Professional		$920.37	$1,348.70	$5,602.30
United Facility/Professional Professional Modifier Low / Median / High Price $780.80 / $1,084.95 / $1,666.84	Professional		$780.80	$1,084.95	$1,666.84