Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,479.11	Professional		$812.83	$933.25	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,570.40	Facility		$1,230.27	$1,230.27	$2,570.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,238.72	Professional		$1,318.26	$1,318.26	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,162.28 / $3,162.28	Facility		$1,174.90	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $9,549.93	Professional		$870.96	$870.96	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,089.30	Facility		$891.25	$1,202.26	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,513.56	Professional		$812.83	$1,023.29	$1,513.56