Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.67 / $917.67 / $3,050.00	Facility		$917.67	$917.67	$3,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.10 / $965.12 / $1,102.38	Professional		$860.10	$965.12	$1,102.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.58 / $1,142.78 / $1,245.08	Facility		$1,029.58	$1,142.78	$1,245.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,106.74 / $1,106.74 / $1,106.74	Professional		$1,106.74	$1,106.74	$1,106.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.09 / $1,102.09 / $1,102.09	Facility		$1,102.09	$1,102.09	$1,102.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.09 / $1,383.42 / $5,661.06	Professional		$941.09	$1,383.42	$5,661.06
United Facility/Professional Professional Modifier Low / Median / High Price $791.81 / $1,138.22 / $1,734.50	Professional		$791.81	$1,138.22	$1,734.50