Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,122.02	Facility		$616.60	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $707.95	Professional		$524.81	$602.56	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $2,238.72	Facility		$630.96	$1,202.26	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $933.25	Professional		$316.23	$338.84	$933.25