Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.29 / $990.29 / $1,400.00	Facility		$990.29	$990.29	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.29 / $1,015.64 / $1,152.90	Professional		$990.29	$1,015.64	$1,152.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.74 / $1,140.61 / $1,242.73	Facility		$990.74	$1,140.61	$1,242.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,104.65 / $1,104.65 / $1,104.65	Professional		$1,104.65	$1,104.65	$1,104.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.48 / $1,063.48 / $1,063.48	Facility		$1,063.48	$1,063.48	$1,063.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.30 / $1,451.90 / $6,008.10	Professional		$882.30	$1,451.90	$6,008.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,824.53 / $8,824.53 / $8,824.53	Facility		$8,824.53	$8,824.53	$8,824.53
United Facility/Professional Professional Modifier Low / Median / High Price $794.99 / $1,145.25 / $1,754.50	Professional		$794.99	$1,145.25	$1,754.50