Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.16 / $549.16 / $549.16	Facility		$549.16	$549.16	$549.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $549.16 / $669.26	Professional		$407.28	$549.16	$669.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.02 / $1,144.08 / $1,572.36	Facility		$584.02	$1,144.08	$1,572.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $584.02 / $628.94 / $1,078.19	Professional		$584.02	$628.94	$1,078.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $1,046.78	Facility		$854.15	$854.15	$1,046.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $854.15 / $4,015.83	Professional		$623.53	$854.15	$4,015.83
United Facility/Professional Professional Modifier Low / Median / High Price $539.09 / $692.15 / $1,087.66	Professional		$539.09	$692.15	$1,087.66