Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,698.24	Facility		$776.25	$776.25	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,380.38	Professional		$676.08	$776.25	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,023.29	Facility		$831.76	$831.76	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,862.09	Facility		$1,318.26	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $5,128.61	Professional		$724.44	$1,174.90	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $20,417.38	Facility		$2,884.03	$2,884.03	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,258.93	Professional		$588.84	$870.96	$1,258.93