Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.94 / $1,057.83 / $1,269.41	Facility		$693.94	$1,057.83	$1,269.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $693.94 / $719.33	Professional		$634.70	$693.94	$719.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $930.90 / $1,269.41 / $1,480.97	Facility		$930.90	$1,269.41	$1,480.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,015.52 / $1,142.46	Professional		$1,015.52	$1,015.52	$1,142.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $1,015.52 / $2,538.62	Facility		$687.60	$1,015.52	$2,538.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.73 / $1,157.39 / $4,079.02	Professional		$330.73	$1,157.39	$4,079.02
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $423.14 / $1,354.03	Professional		$355.43	$423.14	$1,354.03