Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.21 / $806.21 / $806.21	Facility		$806.21	$806.21	$806.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.09 / $771.59 / $806.21	Professional		$697.09	$771.59	$806.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.46 / $2,106.73 / $2,730.95	Facility		$1,119.46	$2,106.73	$2,730.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.35 / $1,205.58 / $2,066.69	Professional		$1,014.35	$1,205.58	$2,066.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $2,018.26	Facility		$891.35	$891.35	$2,018.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $1,165.85 / $1,399.44	Professional		$650.69	$1,165.85	$1,399.44
United Facility/Professional Professional Modifier Low / Median / High Price $596.47 / $790.08 / $1,355.51	Professional		$596.47	$790.08	$1,355.51