Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,089.30	Facility		$1,412.54	$2,089.30	$2,089.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,818.38	Facility		$2,290.87	$2,290.87	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,715.35 / $3,715.35	Facility		$34.67	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility	22	$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	62	$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	AS	$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58