Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,412.54	Facility		$870.96	$870.96	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $912.01 / $1,047.13	Professional		$870.96	$912.01	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,096.48	Facility		$891.25	$891.25	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,412.54 / $1,412.54	Facility		$34.67	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $5,623.41	Professional		$691.83	$1,318.26	$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 $691.83 / $977.24 / $1,479.11	Professional		$691.83	$977.24	$1,479.11