Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.77 / $879.77 / $3,550.00	Facility		$879.77	$879.77	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.63 / $879.77 / $1,025.53	Professional		$755.63	$879.77	$1,025.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.65 / $1,094.71 / $1,192.71	Facility		$977.65	$1,094.71	$1,192.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,060.19 / $1,060.19 / $1,060.19	Professional		$1,060.19	$1,060.19	$1,060.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,054.61 / $1,054.61 / $1,054.61	Facility		$1,054.61	$1,054.61	$1,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.33 / $1,280.27 / $5,181.81	Professional		$893.33	$1,280.27	$5,181.81
United Facility/Professional Professional Modifier Low / Median / High Price $724.62 / $1,077.85 / $1,740.83	Professional		$724.62	$1,077.85	$1,740.83