Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.30 / $836.30 / $1,400.00	Facility		$836.30	$836.30	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.17 / $883.46 / $1,005.35	Professional		$786.17	$883.46	$1,005.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.81 / $1,045.08 / $1,138.63	Facility		$942.81	$1,045.08	$1,138.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,012.12 / $1,012.12 / $1,012.12	Professional		$1,012.12	$1,012.12	$1,012.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,008.34 / $1,008.34 / $1,008.34	Facility		$1,008.34	$1,008.34	$1,008.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.38 / $1,265.15 / $5,297.48	Professional		$864.38	$1,265.15	$5,297.48
United Facility/Professional Professional Modifier Low / Median / High Price $719.93 / $995.82 / $1,566.90	Professional		$719.93	$995.82	$1,566.90