Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,570.40	Facility		$891.25	$891.25	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,778.28	Professional		$831.76	$933.25	$1,778.28
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 / $1,584.89 / $1,584.89	Facility		$34.67	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $5,888.44	Professional		$912.01	$1,318.26	$5,888.44
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 $758.58 / $1,047.13 / $1,659.59	Professional		$758.58	$1,047.13	$1,659.59