Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,412.54	Facility		$891.25	$891.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,479.11	Professional		$851.14	$977.24	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,174.90	Facility		$954.99	$954.99	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,513.56 / $1,513.56	Facility		$34.67	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $5,623.41	Professional		$812.83	$1,258.93	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,479.11	Professional		$707.95	$1,000.00	$1,479.11