Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.33 / $850.33 / $850.33	Facility		$850.33	$850.33	$850.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.68 / $813.81 / $850.33	Professional		$792.68	$813.81	$850.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,102.06 / $2,222.02 / $2,880.40	Facility		$1,102.06	$2,222.02	$2,880.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,069.85 / $1,186.83 / $2,034.58	Professional		$1,069.85	$1,186.83	$2,034.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $1,986.89	Facility		$941.33	$941.33	$1,986.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $941.33 / $8,087.72	Professional		$687.17	$941.33	$8,087.72
United Facility/Professional Professional Modifier Low / Median / High Price $629.91 / $821.14 / $1,368.56	Professional		$629.91	$821.14	$1,368.56