Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.88 / $755.88 / $755.88	Facility		$755.88	$755.88	$755.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $755.88 / $853.28	Professional		$755.88	$755.88	$853.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.98 / $2,081.03 / $2,697.63	Facility		$1,001.98	$2,081.03	$2,697.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,001.98 / $1,079.05 / $1,849.80	Professional		$1,001.98	$1,079.05	$1,849.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $2,030.10	Facility		$963.22	$963.22	$2,030.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $963.22 / $8,508.75	Professional		$703.15	$963.22	$8,508.75
United Facility/Professional Professional Modifier Low / Median / High Price $769.04 / $1,029.99 / $1,281.73	Professional		$769.04	$1,029.99	$1,281.73