Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.64 / $962.64 / $962.64	Facility		$962.64	$962.64	$962.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.38 / $921.31 / $962.64	Professional		$897.38	$921.31	$962.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,211.16 / $2,482.66 / $3,260.83	Facility		$1,211.16	$2,482.66	$3,260.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.16 / $1,304.33 / $2,206.81	Professional		$1,211.16	$1,304.33	$2,206.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,272.26	Facility		$1,108.41	$1,108.41	$2,272.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $9,523.74	Professional		$809.14	$1,108.41	$9,523.74
United Facility/Professional Professional Modifier Low / Median / High Price $730.50 / $929.60 / $1,549.33	Professional		$730.50	$929.60	$1,549.33