Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.98 / $855.98 / $855.98	Facility		$855.98	$855.98	$855.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.47 / $776.63 / $1,054.34	Professional		$758.47	$776.63	$1,054.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $999.16 / $1,160.22 / $1,264.07	Facility		$999.16	$1,160.22	$1,264.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,123.61 / $1,123.61 / $1,123.61	Professional		$1,123.61	$1,123.61	$1,123.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.75 / $1,076.75 / $1,076.75	Facility		$1,076.75	$1,076.75	$1,076.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.91 / $1,318.59 / $6,098.09	Professional		$889.91	$1,318.59	$6,098.09
United Facility/Professional Professional Modifier Low / Median / High Price $796.86 / $1,129.27 / $1,846.76	Professional		$796.86	$1,129.27	$1,846.76