Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.71 / $802.71 / $1,600.00	Facility		$802.71	$802.71	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.37 / $817.53 / $1,009.08	Professional		$801.37	$817.53	$1,009.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $871.77 / $961.90 / $1,047.99	Facility		$871.77	$961.90	$1,047.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $931.55 / $931.55 / $931.55	Professional		$931.55	$931.55	$931.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.51 / $937.51 / $937.51	Facility		$937.51	$937.51	$937.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.50 / $1,164.44 / $5,798.77	Professional		$813.50	$1,164.44	$5,798.77
United Facility/Professional Facility Modifier Low / Median / High Price $16,585.53 / $16,585.53 / $16,585.53	Facility		$16,585.53	$16,585.53	$16,585.53
United Facility/Professional Professional Modifier Low / Median / High Price $632.45 / $928.58 / $1,569.10	Professional		$632.45	$928.58	$1,569.10