Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.57 / $758.57 / $758.57	Facility		$758.57	$758.57	$758.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.14 / $725.99 / $758.57	Professional		$707.14	$725.99	$758.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $1,982.23 / $2,569.56	Facility		$983.16	$1,982.23	$2,569.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.41 / $1,058.79 / $1,815.06	Professional		$954.41	$1,058.79	$1,815.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,772.52	Facility		$1,038.85	$1,038.85	$1,772.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $7,215.01	Professional		$758.37	$1,038.85	$7,215.01
United Facility/Professional Professional Modifier Low / Median / High Price $561.94 / $744.35 / $1,220.88	Professional		$561.94	$744.35	$1,220.88