Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.70 / $813.70 / $813.70	Facility		$813.70	$813.70	$813.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.70 / $934.68 / $960.98	Professional		$813.70	$934.68	$960.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $715.52 / $977.74	Facility		$126.98	$715.52	$977.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $133.31 / $133.31	Professional		$133.31	$133.31	$133.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.53 / $999.53 / $999.53	Facility		$999.53	$999.53	$999.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.38 / $1,153.29 / $3,981.95	Professional		$805.38	$1,153.29	$3,981.95
United Facility/Professional Professional Modifier Low / Median / High Price $791.74 / $1,157.16 / $2,041.50	Professional		$791.74	$1,157.16	$2,041.50