Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,032.00 / $4,032.00 / $4,032.00	Facility		$4,032.00	$4,032.00	$4,032.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,394.00 / $2,394.00 / $2,394.00	Professional		$2,394.00	$2,394.00	$2,394.00