Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.87 / $944.87 / $944.87	Facility		$944.87	$944.87	$944.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.81 / $904.30 / $944.87	Professional		$880.81	$904.30	$944.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,224.21 / $2,469.06 / $3,200.63	Facility		$1,224.21	$2,469.06	$3,200.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,188.80 / $1,318.38 / $2,260.08	Professional		$1,188.80	$1,318.38	$2,260.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $2,287.61	Facility		$1,186.93	$1,186.93	$2,287.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $9,588.09	Professional		$866.46	$1,186.93	$9,588.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $749.04 / $977.63 / $1,520.72	Professional		$749.04	$977.63	$1,520.72