Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.97 / $974.97 / $974.97	Facility		$974.97	$974.97	$974.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.37 / $974.97 / $1,048.63	Professional		$966.37	$974.97	$1,048.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,331.31 / $2,684.19 / $3,479.51	Facility		$1,331.31	$2,684.19	$3,479.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,292.39 / $1,433.72 / $2,457.80	Professional		$1,292.39	$1,433.72	$2,457.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $2,400.19	Facility		$1,317.79	$1,317.79	$2,400.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $9,786.34	Professional		$961.99	$1,317.79	$9,786.34
United Facility/Professional Professional Modifier Low / Median / High Price $971.23 / $1,199.72 / $1,594.21	Professional		$971.23	$1,199.72	$1,594.21