Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.52 / $1,170.00 / $1,404.00	Facility		$767.52	$1,170.00	$1,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $767.52 / $795.60	Professional		$702.00	$767.52	$795.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.59 / $1,404.00 / $1,638.00	Facility		$1,029.59	$1,404.00	$1,638.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,123.20 / $1,123.20 / $1,263.59	Professional		$1,123.20	$1,123.20	$1,263.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.50 / $1,123.20 / $2,807.77	Facility		$760.50	$1,123.20	$2,807.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.86 / $1,344.83 / $4,511.52	Professional		$1,075.86	$1,344.83	$4,511.52
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $468.00 / $1,263.59	Professional		$393.12	$468.00	$1,263.59