Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.97 / $896.97 / $896.97	Facility		$896.97	$896.97	$896.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.97 / $1,015.03 / $1,433.74	Professional		$896.97	$1,015.03	$1,433.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.96 / $936.91 / $1,187.42	Facility		$140.96	$936.91	$1,187.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $148.12 / $999.03	Professional		$140.19	$148.12	$999.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.33 / $1,161.33 / $1,161.33	Facility		$1,161.33	$1,161.33	$1,161.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.77 / $1,231.39 / $3,941.57	Professional		$912.77	$1,231.39	$3,941.57
United Facility/Professional Professional Modifier Low / Median / High Price $771.43 / $1,218.10 / $1,989.08	Professional		$771.43	$1,218.10	$1,989.08