Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.05 / $962.05 / $1,700.00	Facility		$962.05	$962.05	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.57 / $962.05 / $1,695.20	Professional		$739.57	$962.05	$1,695.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $976.55 / $1,057.33 / $1,151.98	Facility		$976.55	$1,057.33	$1,151.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $901.99 / $969.23 / $1,145.46	Professional		$901.99	$969.23	$1,145.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.96 / $1,075.96 / $1,075.96	Facility		$1,075.96	$1,075.96	$1,075.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.42 / $1,109.32 / $4,735.60	Professional		$799.42	$1,109.32	$4,735.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.59 / $919.33 / $1,345.92	Professional		$666.59	$919.33	$1,345.92