Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.54 / $872.54 / $1,400.00	Facility		$872.54	$872.54	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.94 / $921.85 / $1,049.99	Professional		$819.94	$921.85	$1,049.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.52 / $1,090.56 / $1,188.19	Facility		$983.52	$1,090.56	$1,188.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,056.17 / $1,056.17 / $1,056.17	Professional		$1,056.17	$1,056.17	$1,056.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.16 / $1,052.16 / $1,052.16	Facility		$1,052.16	$1,052.16	$1,052.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.26 / $1,320.20 / $5,556.39	Professional		$901.26	$1,320.20	$5,556.39
United Facility/Professional Professional Modifier Low / Median / High Price $751.54 / $1,080.33 / $1,637.84	Professional		$751.54	$1,080.33	$1,637.84