Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.77 / $1,400.00 / $1,488.93	Facility		$908.77	$1,400.00	$1,488.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.77 / $1,023.73 / $1,705.73	Professional		$908.77	$1,023.73	$1,705.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,041.58 / $1,153.06 / $1,256.28	Facility		$1,041.58	$1,153.06	$1,256.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.92 / $1,116.70 / $1,116.70	Professional		$572.92	$1,116.70	$1,116.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.78 / $1,123.78 / $1,123.78	Facility		$1,123.78	$1,123.78	$1,123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.70 / $1,395.86 / $2,882.31	Professional		$958.70	$1,395.86	$2,882.31
United Facility/Professional Professional Modifier Low / Median / High Price $793.40 / $1,190.30 / $1,619.91	Professional		$793.40	$1,190.30	$1,619.91