Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,698.24	Facility		$977.24	$977.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,412.54	Professional		$851.14	$977.24	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,288.25	Facility		$1,047.13	$1,047.13	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,698.24 / $1,698.24	Facility		$34.67	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $5,248.07	Professional		$870.96	$1,318.26	$5,248.07
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 $776.25 / $1,047.13 / $1,412.54	Professional		$776.25	$1,047.13	$1,412.54