Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,000.00	Professional		$549.54	$660.69	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,621.81	Facility		$776.25	$776.25	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,445.44	Professional		$851.14	$851.14	$1,445.44
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 $588.84 / $602.56 / $1,380.38	Facility		$588.84	$602.56	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,096.48	Professional		$537.03	$707.95	$1,096.48