Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,412.54	Facility		$912.01	$912.01	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,096.48	Professional		$912.01	$977.24	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,148.15	Facility		$933.25	$933.25	$1,148.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
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 $724.44 / $1,380.38 / $6,025.60	Professional		$724.44	$1,380.38	$6,025.60
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 $741.31 / $1,023.29 / $1,548.82	Professional		$741.31	$1,023.29	$1,548.82