Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,047.13	Professional		$537.03	$630.96	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,698.24	Facility		$812.83	$812.83	$1,698.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,513.56	Professional		$870.96	$870.96	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $2,187.76	Facility		$758.58	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $6,606.93	Professional		$549.54	$549.54	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,412.54	Facility		$602.56	$812.83	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,000.00	Professional		$549.54	$676.08	$1,000.00