Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,412.54	Facility		$812.83	$812.83	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,584.89	Professional		$724.44	$794.33	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,202.26	Facility		$954.99	$954.99	$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 / $1,548.82 / $1,548.82	Facility		$34.67	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $5,011.87	Professional		$758.58	$1,288.25	$5,011.87
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 $676.08 / $977.24 / $1,548.82	Professional		$676.08	$977.24	$1,548.82