Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $108.10 / $1,043.94	Facility		$108.10	$108.10	$1,043.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.71 / $1,005.95 / $1,272.09	Professional		$940.71	$1,005.95	$1,272.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,245.70 / $1,444.93 / $1,574.28	Facility		$1,245.70	$1,444.93	$1,574.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,399.36 / $1,399.36 / $1,399.36	Professional		$1,399.36	$1,399.36	$1,399.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $1,341.00 / $1,341.00	Facility		$1,341.00	$1,341.00	$1,341.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.34 / $1,611.08 / $5,962.21	Professional		$1,111.34	$1,611.08	$5,962.21
United Facility/Professional Facility Modifier Low / Median / High Price $909.33 / $909.33 / $909.33	Facility		$909.33	$909.33	$909.33
United Facility/Professional Professional Modifier Low / Median / High Price $821.54 / $1,224.93 / $1,865.81	Professional		$821.54	$1,224.93	$1,865.81