Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $707.95	Professional		$371.54	$512.86	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $562.34 / $912.01	Facility		$83.18	$562.34	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $691.83 / $1,412.54	Professional		$53.70	$691.83	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $977.24 / $1,698.24	Facility		$208.93	$977.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $575.44 / $3,311.31	Professional		$60.26	$575.44	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $53.70 / $537.03	Facility		$52.48	$53.70	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $954.99	Professional		$61.66	$128.82	$954.99