Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.98 / $829.98 / $1,400.00	Facility		$829.98	$829.98	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.44 / $877.75 / $995.79	Professional		$780.44	$877.75	$995.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.72 / $1,038.35 / $1,131.31	Facility		$936.72	$1,038.35	$1,131.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,005.61 / $1,005.61 / $1,005.61	Professional		$1,005.61	$1,005.61	$1,005.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,001.77 / $1,001.77 / $1,001.77	Facility		$1,001.77	$1,001.77	$1,001.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.84 / $1,257.01 / $5,198.33	Professional		$858.84	$1,257.01	$5,198.33
United Facility/Professional Professional Modifier Low / Median / High Price $714.76 / $1,053.38 / $1,554.99	Professional		$714.76	$1,053.38	$1,554.99