Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.65 / $955.65 / $1,700.00	Facility		$955.65	$955.65	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.85 / $967.71 / $1,075.06	Professional		$864.85	$967.71	$1,075.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.18 / $1,112.56 / $1,212.14	Facility		$1,003.18	$1,112.56	$1,212.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.46 / $1,077.46 / $1,077.46	Professional		$1,077.46	$1,077.46	$1,077.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.30 / $1,073.30 / $1,073.30	Facility		$1,073.30	$1,073.30	$1,073.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.05 / $1,384.30 / $6,164.21	Professional		$919.05	$1,384.30	$6,164.21
United Facility/Professional Professional Modifier Low / Median / High Price $768.62 / $1,149.94 / $1,726.14	Professional		$768.62	$1,149.94	$1,726.14