Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $750.00 / $900.00	Facility		$492.00	$750.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $492.00 / $510.00	Professional		$450.00	$492.00	$510.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $810.00 / $990.00	Facility		$600.00	$810.00	$990.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $810.00 / $810.00	Professional		$600.00	$810.00	$810.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $1,197.08 / $1,799.85	Facility		$487.50	$1,197.08	$1,799.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.68 / $825.65 / $2,892.00	Professional		$763.68	$825.65	$2,892.00
United Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $252.00 / $252.00	Facility		$252.00	$252.00	$252.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.29 / $300.35 / $810.95	Professional		$252.29	$300.35	$810.95