Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,698.24	Facility		$851.14	$851.14	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,380.38	Professional		$776.25	$851.14	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,174.90	Facility		$954.99	$954.99	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,513.56 / $1,513.56	Facility		$34.67	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $4,570.88	Professional		$851.14	$1,348.96	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $20,417.38	Facility		$4,466.84	$4,466.84	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,380.38	Professional		$630.96	$891.25	$1,380.38