Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,584.89	Facility		$794.33	$794.33	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,348.96	Professional		$794.33	$870.96	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,047.13	Facility		$870.96	$870.96	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Facility		$1,412.54	$1,412.54	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $6,025.60	Professional		$691.83	$1,174.90	$6,025.60
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 $630.96 / $891.25 / $1,318.26	Professional		$630.96	$891.25	$1,318.26