Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Facility		$760.00	$760.00	$760.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $760.00 / $817.41	Professional		$753.30	$760.00	$817.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.78 / $2,092.37 / $2,712.33	Facility		$1,037.78	$2,092.37	$2,712.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,007.44 / $1,117.60 / $1,915.90	Professional		$1,007.44	$1,117.60	$1,915.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,870.99	Facility		$1,111.22	$1,111.22	$1,870.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $7,617.62	Professional		$811.19	$811.19	$7,617.62
United Facility/Professional Professional Modifier Low / Median / High Price $773.22 / $988.85 / $1,288.70	Professional		$773.22	$988.85	$1,288.70