Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.96 / $928.96 / $928.96	Facility		$928.96	$928.96	$928.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.98 / $889.07 / $928.96	Professional		$865.98	$889.07	$928.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,203.98 / $2,427.48 / $3,146.73	Facility		$1,203.98	$2,427.48	$3,146.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.78 / $1,296.59 / $2,222.73	Professional		$1,168.78	$1,296.59	$2,222.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $2,170.64	Facility		$1,191.78	$1,191.78	$2,170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,191.78 / $8,835.64	Professional		$870.00	$1,191.78	$8,835.64
United Facility/Professional Professional Modifier Low / Median / High Price $688.17 / $897.07 / $1,407.35	Professional		$688.17	$897.07	$1,407.35