Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $873.00 / $1,400.00	Facility		$873.00	$873.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.70 / $873.00 / $1,051.59	Professional		$799.70	$873.00	$1,051.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $997.15 / $1,154.14 / $1,257.44	Facility		$997.15	$1,154.14	$1,257.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,117.73 / $1,117.73 / $1,117.73	Professional		$1,117.73	$1,117.73	$1,117.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,068.33 / $1,068.33 / $1,068.33	Facility		$1,068.33	$1,068.33	$1,068.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.21 / $1,397.17 / $7,993.06	Professional		$906.21	$1,397.17	$7,993.06
United Facility/Professional Professional Modifier Low / Median / High Price $740.57 / $1,046.30 / $1,490.30	Professional		$740.57	$1,046.30	$1,490.30