Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,584.89	Facility		$891.25	$891.25	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,479.11	Professional		$831.76	$933.25	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,258.93	Facility		$1,023.29	$1,023.29	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $4,897.79	Professional		$870.96	$1,380.38	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $24,547.09	Facility		$3,548.13	$3,548.13	$24,547.09
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,445.44	Professional		$691.83	$1,000.00	$1,445.44