Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.31 / $870.31 / $1,400.00	Facility		$870.31	$870.31	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.20 / $917.71 / $1,052.83	Professional		$818.20	$917.71	$1,052.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $978.93 / $1,084.80 / $1,181.91	Facility		$978.93	$1,084.80	$1,181.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,050.58 / $1,050.58 / $1,050.58	Professional		$1,050.58	$1,050.58	$1,050.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.23 / $1,047.23 / $1,047.23	Facility		$1,047.23	$1,047.23	$1,047.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.14 / $1,313.23 / $5,611.47	Professional		$898.14	$1,313.23	$5,611.47
United Facility/Professional Professional Modifier Low / Median / High Price $752.14 / $1,081.21 / $1,623.25	Professional		$752.14	$1,081.21	$1,623.25