Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.47 / $793.47 / $2,600.00	Facility		$793.47	$793.47	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.45 / $793.47 / $924.26	Professional		$682.45	$793.47	$924.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.10 / $1,000.72 / $1,090.29	Facility		$894.10	$1,000.72	$1,090.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $969.14 / $969.14 / $969.14	Professional		$969.14	$969.14	$969.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.36 / $964.36 / $964.36	Facility		$964.36	$964.36	$964.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.40 / $1,203.32 / $4,640.31	Professional		$817.40	$1,203.32	$4,640.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.71 / $1,130.67 / $1,556.93	Professional		$687.71	$1,130.67	$1,556.93