Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,659.59	Professional		$794.33	$912.01	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,630.27	Facility		$1,258.93	$1,258.93	$2,630.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,290.87	Professional		$1,348.96	$1,348.96	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $3,162.28	Facility		$1,096.48	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $9,549.93	Professional		$812.83	$812.83	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,000.00 / $2,041.74	Facility		$870.96	$1,000.00	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,479.11	Professional		$794.33	$1,000.00	$1,479.11