Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.89 / $1,400.00 / $1,700.00	Facility		$895.89	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.99 / $999.12 / $1,621.04	Professional		$869.99	$999.12	$1,621.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.20 / $1,187.32 / $1,293.60	Facility		$1,023.20	$1,187.32	$1,293.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.87 / $1,149.88 / $1,149.88	Professional		$589.87	$1,149.88	$1,149.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.21 / $1,094.21 / $1,094.21	Facility		$1,094.21	$1,094.21	$1,094.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.93 / $1,199.83 / $2,248.79	Professional		$926.93	$1,199.83	$2,248.79
United Facility/Professional Professional Modifier Low / Median / High Price $636.78 / $892.86 / $1,533.17	Professional		$636.78	$892.86	$1,533.17