Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.77 / $828.77 / $828.77	Facility		$828.77	$828.77	$828.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.58 / $793.18 / $911.91	Professional		$772.58	$793.18	$911.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.72 / $2,165.66 / $2,807.33	Facility		$1,042.72	$2,165.66	$2,807.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,042.72 / $1,122.93 / $1,925.03	Professional		$1,042.72	$1,122.93	$1,925.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $2,088.98	Facility		$1,025.33	$1,025.33	$2,088.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $8,755.58	Professional		$748.49	$1,025.33	$8,755.58
United Facility/Professional Professional Modifier Low / Median / High Price $726.68 / $903.27 / $1,393.44	Professional		$726.68	$903.27	$1,393.44