Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $1,584.89	Facility		$707.95	$812.83	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $912.01	Professional		$630.96	$741.31	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,659.59	Facility		$1,288.25	$1,288.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $4,570.88	Professional		$676.08	$1,000.00	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,000.00	Facility		$2,884.03	$2,884.03	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,288.25	Professional		$630.96	$891.25	$1,288.25