Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.62 / $1,400.00 / $2,300.00	Facility		$954.62	$1,400.00	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.94 / $1,011.69 / $1,450.74	Professional		$939.94	$1,011.69	$1,450.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,027.26 / $1,148.39 / $1,251.18	Facility		$1,027.26	$1,148.39	$1,251.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $1,112.16 / $1,112.16	Professional		$570.54	$1,112.16	$1,112.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.09 / $1,098.09 / $1,098.09	Facility		$1,098.09	$1,098.09	$1,098.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.64 / $1,390.20 / $2,769.55	Professional		$936.64	$1,390.20	$2,769.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.62 / $1,169.22 / $1,543.01	Professional		$746.62	$1,169.22	$1,543.01