Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.57 / $653.57 / $653.57	Facility		$653.57	$653.57	$653.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.26 / $625.51 / $653.57	Professional		$609.26	$625.51	$653.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $847.06 / $1,707.84 / $2,213.87	Facility		$847.06	$1,707.84	$2,213.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $822.30 / $912.22 / $1,563.80	Professional		$822.30	$912.22	$1,563.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,527.16	Facility		$723.52	$723.52	$1,527.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $6,216.31	Professional		$528.16	$723.52	$6,216.31
United Facility/Professional Professional Modifier Low / Median / High Price $521.57 / $664.84 / $1,234.70	Professional		$521.57	$664.84	$1,234.70