Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.75 / $750.75 / $750.75	Facility		$750.75	$750.75	$750.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.85 / $718.51 / $750.75	Professional		$699.85	$718.51	$750.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.02 / $1,961.79 / $2,543.07	Facility		$973.02	$1,961.79	$2,543.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $944.57 / $1,047.86 / $1,796.34	Professional		$944.57	$1,047.86	$1,796.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $1,754.24	Facility		$831.10	$831.10	$1,754.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $1,107.57 / $1,329.47	Professional		$606.70	$1,107.57	$1,329.47
United Facility/Professional Professional Modifier Low / Median / High Price $556.15 / $724.97 / $1,208.29	Professional		$556.15	$724.97	$1,208.29