Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,122.02	Professional		$616.60	$758.58	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,398.83	Facility		$1,148.15	$1,148.15	$2,398.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,137.96	Professional		$1,258.93	$1,258.93	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,511.89	Facility		$891.25	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $7,585.78	Professional		$645.65	$645.65	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $1,584.89	Facility		$676.08	$851.14	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,202.26	Professional		$616.60	$831.76	$1,202.26