Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.13 / $887.13 / $887.13	Facility		$887.13	$887.13	$887.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $887.13 / $1,086.76	Professional		$93.70	$887.13	$1,086.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.79 / $2,170.98 / $2,814.25	Facility		$1,076.79	$2,170.98	$2,814.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,045.29 / $1,159.61 / $1,987.92	Professional		$1,045.29	$1,159.61	$1,987.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $1,941.32	Facility		$120.00	$120.00	$1,941.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $7,903.88	Professional		$102.00	$120.00	$7,903.88
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $85.63 / $162.41	Professional		$68.50	$85.63	$162.41