Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,122.02 / $1,122.02	Facility		$602.56	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $630.96	Professional		$501.19	$588.84	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
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 $616.60 / $1,174.90 / $2,238.72	Facility		$616.60	$1,174.90	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $933.25	Professional		$309.03	$331.13	$933.25