Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.18 / $1,400.00 / $1,600.00	Facility		$884.18	$1,400.00	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.38 / $990.58 / $1,611.53	Professional		$873.38	$990.58	$1,611.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,021.62 / $1,144.01 / $1,246.41	Facility		$1,021.62	$1,144.01	$1,246.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $568.55 / $1,107.92 / $1,107.92	Professional		$568.55	$1,107.92	$1,107.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.33 / $1,090.33 / $1,090.33	Facility		$1,090.33	$1,090.33	$1,090.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.98 / $1,340.97 / $2,882.87	Professional		$929.98	$1,340.97	$2,882.87
United Facility/Professional Professional Modifier Low / Median / High Price $697.93 / $1,051.78 / $1,477.23	Professional		$697.93	$1,051.78	$1,477.23