Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.86 / $1,400.00 / $2,600.00	Facility		$935.86	$1,400.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.86 / $987.30 / $1,426.02	Professional		$935.86	$987.30	$1,426.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,005.08 / $1,124.83 / $1,225.53	Facility		$1,005.08	$1,124.83	$1,225.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $1,089.35 / $1,089.35	Professional		$559.00	$1,089.35	$1,089.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.61 / $1,073.61 / $1,073.61	Facility		$1,073.61	$1,073.61	$1,073.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.94 / $1,393.62 / $2,729.65	Professional		$915.94	$1,393.62	$2,729.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.27 / $1,134.40 / $1,542.90	Professional		$756.27	$1,134.40	$1,542.90