Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.90 / $820.90 / $1,400.00	Facility		$820.90	$820.90	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.46 / $841.60 / $1,024.50	Professional		$786.46	$841.60	$1,024.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $877.18 / $962.75 / $1,048.94	Facility		$877.18	$962.75	$1,048.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.34 / $932.39 / $932.39	Professional		$478.34	$932.39	$932.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $948.57 / $948.57 / $948.57	Facility		$948.57	$948.57	$948.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.20 / $1,145.28 / $2,285.04	Professional		$701.20	$1,145.28	$2,285.04
United Facility/Professional Facility Modifier Low / Median / High Price $16,585.53 / $16,585.53 / $16,585.53	Facility		$16,585.53	$16,585.53	$16,585.53
United Facility/Professional Professional Modifier Low / Median / High Price $641.14 / $947.28 / $1,553.34	Professional		$641.14	$947.28	$1,553.34