Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,412.54	Facility		$1,047.13	$1,047.13	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,778.28	Professional		$912.01	$1,047.13	$1,778.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,348.96	Facility		$1,071.52	$1,071.52	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,737.80 / $1,737.80	Facility		$34.67	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $5,128.61	Professional		$831.76	$1,380.38	$5,128.61
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 $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59