Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.07 / $1,400.00 / $1,600.00	Facility		$928.07	$1,400.00	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.69 / $1,038.83 / $1,673.14	Professional		$913.69	$1,038.83	$1,673.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,070.97 / $1,205.14 / $1,313.02	Facility		$1,070.97	$1,205.14	$1,313.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $598.83 / $1,167.13 / $1,167.13	Professional		$598.83	$1,167.13	$1,167.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.13 / $1,140.13 / $1,140.13	Facility		$1,140.13	$1,140.13	$1,140.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.39 / $1,458.91 / $2,912.85	Professional		$971.39	$1,458.91	$2,912.85
United Facility/Professional Professional Modifier Low / Median / High Price $777.46 / $1,269.58 / $1,628.70	Professional		$777.46	$1,269.58	$1,628.70