Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.41 / $414.41 / $414.41	Facility		$414.41	$414.41	$414.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.41 / $479.99 / $896.62	Professional		$414.41	$479.99	$896.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.90 / $207.94 / $1,003.86	Facility		$69.90	$207.94	$1,003.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $1,057.63 / $1,410.61	Professional		$140.93	$1,057.63	$1,410.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.59 / $1,521.59 / $1,521.59	Facility		$1,521.59	$1,521.59	$1,521.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $3,870.51	Professional		$293.45	$293.45	$3,870.51
United Facility/Professional Professional Modifier Low / Median / High Price $772.68 / $1,447.66 / $1,910.91	Professional		$772.68	$1,447.66	$1,910.91