Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,584.89	Professional		$660.69	$794.33	$1,584.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,089.30	Facility		$1,000.00	$1,000.00	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Professional		$1,071.52	$1,071.52	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,570.40 / $2,570.40	Facility		$912.01	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $7,762.47	Professional		$660.69	$660.69	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,698.24	Facility		$630.96	$954.99	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,202.26	Professional		$707.95	$933.25	$1,202.26