Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Facility		$42.38	$42.38	$42.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $42.38 / $42.38	Professional		$41.38	$42.38	$42.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $809.60 / $809.60 / $1,416.80	Facility		$809.60	$809.60	$1,416.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.35 / $1,048.35 / $1,048.35	Facility		$1,048.35	$1,048.35	$1,048.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,384.18 / $4,384.18 / $4,384.18	Professional		$4,384.18	$4,384.18	$4,384.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.81 / $1,500.81 / $1,500.81	Facility		$1,500.81	$1,500.81	$1,500.81
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $49.86	Professional		$42.28	$42.28	$49.86