Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,412.54	Facility		$912.01	$912.01	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,819.70	Professional		$851.14	$954.99	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,202.26	Facility		$1,000.00	$1,000.00	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,621.81 / $1,621.81	Facility		$34.67	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $5,754.40	Professional		$912.01	$1,348.96	$5,754.40
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 $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59