Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.58 / $1,132.58 / $1,722.69	Facility		$1,132.58	$1,132.58	$1,722.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.95 / $1,132.58 / $1,356.10	Professional		$953.95	$1,132.58	$1,356.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,169.43 / $1,334.10 / $1,453.52	Facility		$1,169.43	$1,334.10	$1,453.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $662.95 / $1,292.02 / $1,292.02	Professional		$662.95	$1,292.02	$1,292.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,252.98 / $1,252.98 / $1,252.98	Facility		$1,252.98	$1,252.98	$1,252.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.53 / $1,490.49 / $3,104.36	Professional		$952.53	$1,490.49	$3,104.36
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.39 / $1,162.81 / $1,770.72	Professional		$854.39	$1,162.81	$1,770.72