Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.30 / $1,400.00 / $5,531.92	Facility		$772.30	$1,400.00	$5,531.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.30 / $1,163.63 / $6,903.08	Professional		$772.30	$1,163.63	$6,903.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $813.30 / $901.15 / $981.81	Facility		$813.30	$901.15	$981.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.72 / $872.72 / $872.72	Professional		$872.72	$872.72	$872.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.11 / $1,304.11 / $1,304.11	Facility		$1,304.11	$1,304.11	$1,304.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.73 / $3,587.48 / $17,897.00	Professional		$872.73	$3,587.48	$17,897.00
United Facility/Professional Facility Modifier Low / Median / High Price $25,925.90 / $25,925.90 / $25,925.90	Facility		$25,925.90	$25,925.90	$25,925.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.83 / $2,917.65 / $7,410.26	Professional		$1,111.83	$2,917.65	$7,410.26