Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.25 / $948.25 / $948.25	Facility		$948.25	$948.25	$948.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.24 / $948.25 / $1,253.18	Professional		$944.24	$948.25	$1,253.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,256.97 / $2,610.63 / $3,384.15	Facility		$1,256.97	$2,610.63	$3,384.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,256.97 / $1,353.66 / $2,320.56	Professional		$1,256.97	$1,353.66	$2,320.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $2,486.92	Facility		$1,226.77	$1,226.77	$2,486.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,226.77 / $10,423.44	Professional		$895.54	$1,226.77	$10,423.44
United Facility/Professional Professional Modifier Low / Median / High Price $964.75 / $1,347.67 / $1,607.92	Professional		$964.75	$1,347.67	$1,607.92