Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,202.26	Professional		$630.96	$794.33	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,137.96	Facility		$1,047.13	$1,047.13	$2,137.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,905.46	Professional		$1,122.02	$1,122.02	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $2,511.89	Facility		$1,122.02	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $7,585.78	Professional		$812.83	$812.83	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,659.59	Facility		$707.95	$707.95	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,288.25	Professional		$645.65	$851.14	$1,288.25