Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.89 / $940.89 / $1,700.00	Facility		$940.89	$940.89	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.47 / $953.99 / $1,062.15	Professional		$852.47	$953.99	$1,062.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $988.10 / $1,094.81 / $1,192.81	Facility		$988.10	$1,094.81	$1,192.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,060.27 / $1,060.27 / $1,060.27	Professional		$1,060.27	$1,060.27	$1,060.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.80 / $1,057.80 / $1,057.80	Facility		$1,057.80	$1,057.80	$1,057.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.63 / $1,325.34 / $6,230.30	Professional		$906.63	$1,325.34	$6,230.30
United Facility/Professional Professional Modifier Low / Median / High Price $753.75 / $1,139.73 / $1,735.55	Professional		$753.75	$1,139.73	$1,735.55