Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,412.54	Facility		$954.99	$954.99	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,584.89	Professional		$851.14	$977.24	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,258.93	Facility		$1,047.13	$1,047.13	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,659.59 / $1,659.59	Facility		$34.67	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $5,888.44	Professional		$912.01	$1,445.44	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $20,417.38	Facility		$4,466.84	$4,466.84	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,584.89	Professional		$741.31	$1,096.48	$1,584.89