Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $1,698.24	Facility		$363.08	$363.08	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,479.11	Professional		$363.08	$363.08	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,754.40	Facility		$1,230.27	$1,230.27	$5,754.40