Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,584.89	Facility		$891.25	$891.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,778.28	Professional		$831.76	$954.99	$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 $1,584.89 / $1,584.89 / $1,659.59	Facility		$1,584.89	$1,584.89	$1,659.59
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 $2,884.03 / $2,884.03 / $15,135.61	Facility		$2,884.03	$2,884.03	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,659.59	Professional		$758.58	$1,071.52	$1,659.59