Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.47 / $813.47 / $1,400.00	Facility		$813.47	$813.47	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.03 / $813.47 / $992.13	Professional		$727.03	$813.47	$992.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.95 / $1,100.14 / $1,198.60	Facility		$955.95	$1,100.14	$1,198.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.43 / $1,065.43 / $1,065.43	Professional		$1,065.43	$1,065.43	$1,065.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.27 / $1,031.27 / $1,031.27	Facility		$1,031.27	$1,031.27	$1,031.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.62 / $1,275.92 / $4,840.26	Professional		$862.62	$1,275.92	$4,840.26
United Facility/Professional Professional Modifier Low / Median / High Price $698.93 / $1,040.72 / $1,557.36	Professional		$698.93	$1,040.72	$1,557.36