Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.27 / $999.27 / $1,400.00	Facility		$999.27	$999.27	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.27 / $999.27 / $1,165.67	Professional		$858.27	$999.27	$1,165.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.55 / $1,259.33 / $1,372.07	Facility		$1,124.55	$1,259.33	$1,372.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,219.61 / $1,219.61 / $1,219.61	Professional		$1,219.61	$1,219.61	$1,219.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,213.45 / $1,213.45 / $1,213.45	Facility		$1,213.45	$1,213.45	$1,213.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.88 / $1,480.25 / $5,973.22	Professional		$1,026.88	$1,480.25	$5,973.22
United Facility/Professional Professional Modifier Low / Median / High Price $836.62 / $1,193.95 / $1,787.15	Professional		$836.62	$1,193.95	$1,787.15