Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $1,174.90	Facility		$77.62	$77.62	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Professional		$1,174.90	$1,174.90	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $1,819.70	Facility		$1,096.48	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $5,011.87	Professional		$1,174.90	$1,174.90	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,122.02 / $1,348.96	Professional		$125.89	$1,122.02	$1,348.96