Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.84 / $856.84 / $856.84	Facility		$856.84	$856.84	$856.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.84 / $856.84 / $1,063.82	Professional		$856.84	$856.84	$1,063.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,135.81 / $2,358.98 / $3,145.32	Facility		$1,135.81	$2,358.98	$3,145.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,135.81 / $1,223.18 / $2,096.88	Professional		$1,135.81	$1,223.18	$2,096.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $2,292.34	Facility		$1,375.24	$1,375.24	$2,292.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $9,607.90	Professional		$1,003.93	$1,375.24	$9,607.90
United Facility/Professional Professional Modifier Low / Median / High Price $853.57 / $1,167.56 / $1,452.93	Professional		$853.57	$1,167.56	$1,452.93