Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.35 / $864.35 / $3,550.00	Facility		$864.35	$864.35	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.07 / $895.83 / $1,008.01	Professional		$743.07	$895.83	$1,008.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.37 / $1,089.94 / $1,187.50	Facility		$973.37	$1,089.94	$1,187.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,055.56 / $1,055.56 / $1,055.56	Professional		$1,055.56	$1,055.56	$1,055.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,049.64 / $1,049.64 / $1,049.64	Facility		$1,049.64	$1,049.64	$1,049.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.45 / $1,268.09 / $5,062.45	Professional		$889.45	$1,268.09	$5,062.45
United Facility/Professional Professional Modifier Low / Median / High Price $721.20 / $1,004.65 / $1,621.44	Professional		$721.20	$1,004.65	$1,621.44