Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,071.52	Professional		$562.34	$691.83	$1,071.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,905.46	Facility		$912.01	$912.01	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,698.24	Professional		$1,000.00	$1,000.00	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,238.72 / $2,238.72	Facility		$912.01	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $6,760.83	Professional		$660.69	$660.69	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,445.44	Facility		$616.60	$616.60	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,148.15	Professional		$562.34	$741.31	$1,148.15