Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.92 / $1,629.94 / $1,955.92	Facility		$359.92	$1,629.94	$1,955.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.20 / $359.92 / $373.09	Professional		$329.20	$359.92	$373.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,434.35 / $1,955.93 / $2,281.91	Facility		$1,434.35	$1,955.93	$2,281.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,564.74 / $1,564.74 / $1,760.33	Professional		$1,564.74	$1,564.74	$1,760.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.63 / $1,316.66 / $1,508.52	Facility		$356.63	$1,316.66	$1,508.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.36 / $1,872.96 / $6,285.04	Professional		$1,498.36	$1,872.96	$6,285.04
United Facility/Professional Professional Modifier Low / Median / High Price $197.52 / $252.88 / $812.84	Professional		$197.52	$252.88	$812.84