Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.73 / $658.73 / $658.73	Facility		$658.73	$658.73	$658.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.07 / $630.44 / $775.96	Professional		$614.07	$630.44	$775.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $829.85 / $1,723.53 / $2,250.77	Facility		$829.85	$1,723.53	$2,250.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.79 / $893.68 / $1,532.03	Professional		$828.79	$893.68	$1,532.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,650.87	Facility		$1,057.34	$1,057.34	$1,650.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $6,919.30	Professional		$771.87	$1,057.34	$6,919.30
United Facility/Professional Professional Modifier Low / Median / High Price $533.16 / $670.75 / $1,060.19	Professional		$533.16	$670.75	$1,060.19