Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $1,584.89	Facility		$741.31	$912.01	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,318.26	Professional		$630.96	$851.14	$1,318.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $912.01	Facility		$776.25	$776.25	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $4,365.16	Professional		$691.83	$933.25	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,148.15	Professional		$457.09	$645.65	$1,148.15