Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.21 / $909.21 / $2,300.00	Facility		$909.21	$909.21	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.24 / $921.75 / $1,026.04	Professional		$823.24	$921.75	$1,026.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.99 / $1,059.72 / $1,154.58	Facility		$955.99	$1,059.72	$1,154.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.30 / $1,026.30 / $1,026.30	Professional		$1,026.30	$1,026.30	$1,026.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.17 / $1,022.17 / $1,022.17	Facility		$1,022.17	$1,022.17	$1,022.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.65 / $1,282.86 / $5,001.85	Professional		$876.65	$1,282.86	$5,001.85
United Facility/Professional Professional Modifier Low / Median / High Price $729.63 / $1,031.03 / $1,584.76	Professional		$729.63	$1,031.03	$1,584.76