Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,698.24	Facility		$851.14	$851.14	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,445.44	Professional		$851.14	$933.25	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,096.48	Facility		$912.01	$912.01	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,862.09	Facility		$1,445.44	$1,445.44	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $4,365.16	Professional		$724.44	$1,202.26	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $8,912.51	Facility		$2,884.03	$2,884.03	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,348.96	Professional		$616.60	$812.83	$1,348.96