Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.86 / $935.86 / $1,400.00	Facility		$935.86	$935.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.94 / $935.86 / $1,130.79	Professional		$853.94	$935.86	$1,130.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,064.47 / $1,236.08 / $1,346.73	Facility		$1,064.47	$1,236.08	$1,346.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,197.09 / $1,197.09 / $1,197.09	Professional		$1,197.09	$1,197.09	$1,197.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.66 / $1,139.66 / $1,139.66	Facility		$1,139.66	$1,139.66	$1,139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.50 / $1,496.37 / $5,075.30	Professional		$963.50	$1,496.37	$5,075.30
United Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,127.41 / $1,583.61	Professional		$795.00	$1,127.41	$1,583.61