Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $1,412.54	Facility		$776.25	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,096.48	Professional		$630.96	$758.58	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,818.38	Facility		$794.33	$1,513.56	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $4,570.88 / $4,570.88	Professional		$1,096.48	$4,570.88	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $954.99	Professional		$398.11	$426.58	$954.99