Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,412.54	Facility		$645.65	$645.65	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,071.52	Professional		$524.81	$691.83	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Facility		$691.83	$691.83	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Facility		$1,122.02	$1,122.02	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $4,570.88	Professional		$602.56	$933.25	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $9,120.11	Facility		$1,230.27	$1,230.27	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,071.52	Professional		$489.78	$741.31	$1,071.52