Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.35 / $1,400.00 / $1,655.94	Facility		$994.35	$1,400.00	$1,655.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.35 / $1,121.43 / $1,799.82	Professional		$994.35	$1,121.43	$1,799.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,143.34 / $1,282.40 / $1,397.20	Facility		$1,143.34	$1,282.40	$1,397.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $637.05 / $1,241.95 / $1,241.95	Professional		$637.05	$1,241.95	$1,241.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,222.09 / $1,222.09	Facility		$1,222.09	$1,222.09	$1,222.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.18 / $1,552.45 / $3,121.68	Professional		$1,041.18	$1,552.45	$3,121.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.41 / $1,303.47 / $1,730.65	Professional		$837.41	$1,303.47	$1,730.65