Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,698.24	Facility		$724.44	$724.44	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,288.25	Professional		$645.65	$741.31	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $954.99	Facility		$776.25	$776.25	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,862.09	Facility		$1,258.93	$1,258.93	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $4,786.30	Professional		$691.83	$1,096.48	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $20,417.38	Facility		$2,454.71	$2,454.71	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,174.90	Professional		$562.34	$831.76	$1,174.90