Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.52 / $716.52 / $716.52	Facility		$716.52	$716.52	$716.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.43 / $716.52 / $770.66	Professional		$714.43	$716.52	$770.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $997.20 / $2,126.48 / $2,630.21	Facility		$997.20	$2,126.48	$2,630.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $949.80 / $1,073.91 / $1,840.98	Professional		$949.80	$1,073.91	$1,840.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $1,868.16	Facility		$913.06	$913.06	$1,868.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $7,830.04	Professional		$666.53	$913.06	$7,830.04
United Facility/Professional Professional Modifier Low / Median / High Price $728.99 / $1,018.33 / $1,214.99	Professional		$728.99	$1,018.33	$1,214.99