Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.79 / $626.79 / $626.79	Facility		$626.79	$626.79	$626.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.29 / $599.87 / $651.10	Professional		$539.29	$599.87	$651.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.61 / $1,596.74 / $2,123.19	Facility		$788.61	$1,596.74	$2,123.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $762.73 / $849.28 / $1,307.53	Professional		$762.73	$849.28	$1,307.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,446.17	Facility		$680.86	$680.86	$1,446.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $6,061.34	Professional		$497.03	$680.86	$6,061.34
United Facility/Professional Facility Modifier Low / Median / High Price $538.75 / $538.75 / $837.66	Facility		$538.75	$538.75	$837.66
United Facility/Professional Professional Modifier Low / Median / High Price $455.61 / $605.27 / $1,008.79	Professional		$455.61	$605.27	$1,008.79