Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.18 / $892.18 / $3,550.00	Facility		$892.18	$892.18	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.57 / $892.18 / $1,020.00	Professional		$824.57	$892.18	$1,020.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.10 / $1,043.50 / $1,136.90	Facility		$949.10	$1,043.50	$1,136.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,010.58 / $1,010.58 / $1,010.58	Professional		$1,010.58	$1,010.58	$1,010.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,033.46 / $1,033.46 / $1,033.46	Facility		$1,033.46	$1,033.46	$1,033.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.85 / $1,263.22 / $4,794.38	Professional		$891.85	$1,263.22	$4,794.38
United Facility/Professional Professional Modifier Low / Median / High Price $707.53 / $1,017.07 / $1,591.02	Professional		$707.53	$1,017.07	$1,591.02