Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.60 / $993.60 / $2,600.00	Facility		$993.60	$993.60	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.84 / $993.60 / $1,738.68	Professional		$702.84	$993.60	$1,738.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $993.78 / $1,076.47 / $1,172.83	Facility		$993.78	$1,076.47	$1,172.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $917.96 / $986.77 / $1,166.18	Professional		$917.96	$986.77	$1,166.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.57 / $1,100.57 / $1,100.57	Facility		$1,100.57	$1,100.57	$1,100.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.52 / $1,129.40 / $5,661.06	Professional		$813.52	$1,129.40	$5,661.06
United Facility/Professional Professional Modifier Low / Median / High Price $650.82 / $989.42 / $1,388.35	Professional		$650.82	$989.42	$1,388.35