Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.84 / $884.84 / $1,400.00	Facility		$884.84	$884.84	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.77 / $896.01 / $997.23	Professional		$800.77	$896.01	$997.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $929.04 / $1,030.24 / $1,122.46	Facility		$929.04	$1,030.24	$1,122.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $997.74 / $997.74 / $997.74	Professional		$997.74	$997.74	$997.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.86 / $993.86 / $993.86	Facility		$993.86	$993.86	$993.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.02 / $1,247.17 / $5,128.56	Professional		$851.02	$1,247.17	$5,128.56
United Facility/Professional Facility Modifier Low / Median / High Price $14,252.78 / $14,252.78 / $14,252.78	Facility		$14,252.78	$14,252.78	$14,252.78
United Facility/Professional Professional Modifier Low / Median / High Price $711.28 / $1,113.46 / $2,238.01	Professional		$711.28	$1,113.46	$2,238.01