Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $3,548.13	Facility		$645.65	$645.65	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,096.48	Professional		$645.65	$724.44	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Facility		$676.08	$676.08	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,090.30	Facility		$1,096.48	$1,096.48	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $3,162.28	Professional		$549.54	$891.25	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,595.87	Facility		$3,548.13	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,023.29	Professional		$457.09	$630.96	$1,023.29