Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,698.24	Facility		$851.14	$851.14	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,445.44	Professional		$645.65	$933.25	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,023.29	Facility		$851.14	$851.14	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $4,265.80	Professional		$660.69	$1,047.13	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,964.78	Facility		$2,884.03	$2,884.03	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,258.93	Professional		$562.34	$776.25	$1,258.93