Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.76 / $952.76 / $1,700.00	Facility		$952.76	$952.76	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.39 / $965.66 / $1,073.09	Professional		$862.39	$965.66	$1,073.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.03 / $1,110.07 / $1,209.44	Facility		$1,001.03	$1,110.07	$1,209.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,075.06 / $1,075.06 / $1,075.06	Professional		$1,075.06	$1,075.06	$1,075.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.01 / $1,071.01 / $1,071.01	Facility		$1,071.01	$1,071.01	$1,071.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.14 / $1,343.89 / $6,132.97	Professional		$917.14	$1,343.89	$6,132.97
United Facility/Professional Professional Modifier Low / Median / High Price $766.97 / $1,111.54 / $1,833.86	Professional		$766.97	$1,111.54	$1,833.86