Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.95 / $831.95 / $831.95	Facility		$831.95	$831.95	$831.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.22 / $831.95 / $831.95	Professional		$620.22	$831.95	$831.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,453.18 / $1,453.18 / $1,496.95	Facility		$1,453.18	$1,453.18	$1,496.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,453.18 / $1,453.18 / $1,453.18	Professional		$1,453.18	$1,453.18	$1,453.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $1,197.44	Facility		$831.10	$831.10	$1,197.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $831.10 / $1,169.38	Professional		$606.70	$831.10	$1,169.38
United Facility/Professional Professional Modifier Low / Median / High Price $442.36 / $674.24 / $901.91	Professional		$442.36	$674.24	$901.91