Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.16 / $873.16 / $873.16	Facility		$873.16	$873.16	$873.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.80 / $873.16 / $873.16	Professional		$488.80	$873.16	$873.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,178.21 / $1,178.21 / $1,179.76	Facility		$1,178.21	$1,178.21	$1,179.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,178.21 / $1,178.21 / $1,178.21	Professional		$1,178.21	$1,178.21	$1,178.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,256.76	Facility		$736.22	$736.22	$1,256.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $1,227.30	Professional		$537.44	$736.22	$1,227.30
United Facility/Professional Professional Modifier Low / Median / High Price $391.86 / $652.57 / $942.57	Professional		$391.86	$652.57	$942.57