Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.49 / $841.49 / $2,600.00	Facility		$841.49	$841.49	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.15 / $888.32 / $1,013.10	Professional		$790.15	$888.32	$1,013.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.40 / $1,050.83 / $1,144.91	Facility		$947.40	$1,050.83	$1,144.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,017.70 / $1,017.70 / $1,017.70	Professional		$1,017.70	$1,017.70	$1,017.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $1,014.00 / $1,014.00	Facility		$1,014.00	$1,014.00	$1,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.50 / $1,272.11 / $5,372.77	Professional		$867.50	$1,272.11	$5,372.77
United Facility/Professional Professional Modifier Low / Median / High Price $725.50 / $1,021.67 / $1,558.99	Professional		$725.50	$1,021.67	$1,558.99