Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.32 / $755.32 / $755.32	Facility		$755.32	$755.32	$755.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.12 / $722.89 / $889.96	Professional		$704.12	$722.89	$889.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.35 / $1,973.75 / $2,558.57	Facility		$1,157.35	$1,973.75	$2,558.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $950.33 / $1,246.39 / $2,136.67	Professional		$950.33	$1,246.39	$2,136.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $2,086.60	Facility		$888.38	$888.38	$2,086.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $888.38 / $7,622.20	Professional		$648.52	$888.38	$7,622.20
United Facility/Professional Professional Modifier Low / Median / High Price $574.24 / $739.03 / $1,215.66	Professional		$574.24	$739.03	$1,215.66