Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,412.54	Facility		$933.25	$933.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,862.09	Professional		$870.96	$1,000.00	$1,862.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,258.93	Facility		$1,047.13	$1,047.13	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,659.59 / $1,659.59	Facility		$34.67	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $6,165.95	Professional		$954.99	$1,380.38	$6,165.95
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 / $1,096.48 / $1,737.80	Professional		$794.33	$1,096.48	$1,737.80