Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,584.89	Facility		$707.95	$707.95	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,148.15	Professional		$645.65	$707.95	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $933.25	Facility		$758.58	$758.58	$933.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $4,570.88	Professional		$660.69	$1,047.13	$4,570.88
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 $537.03 / $812.83 / $1,148.15	Professional		$537.03	$812.83	$1,148.15