Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,698.24	Facility		$812.83	$812.83	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,348.96	Professional		$691.83	$851.14	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,047.13	Facility		$870.96	$870.96	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,862.09	Facility		$1,380.38	$1,380.38	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $5,495.41	Professional		$758.58	$1,174.90	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $9,120.11	Facility		$2,884.03	$2,884.03	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,318.26	Professional		$630.96	$933.25	$1,318.26