Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.62 / $883.62 / $1,600.00	Facility		$883.62	$883.62	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.66 / $931.61 / $1,062.95	Professional		$829.66	$931.61	$1,062.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $994.11 / $1,102.93 / $1,201.66	Facility		$994.11	$1,102.93	$1,201.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,068.14 / $1,068.14 / $1,068.14	Professional		$1,068.14	$1,068.14	$1,068.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.55 / $1,063.55 / $1,063.55	Facility		$1,063.55	$1,063.55	$1,063.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.92 / $1,335.18 / $5,738.18	Professional		$909.92	$1,335.18	$5,738.18
United Facility/Professional Professional Modifier Low / Median / High Price $761.73 / $1,246.17 / $1,672.23	Professional		$761.73	$1,246.17	$1,672.23