Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.34 / $799.34 / $799.34	Facility		$799.34	$799.34	$799.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.34 / $799.34 / $894.44	Professional		$799.34	$799.34	$894.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,062.00 / $2,200.66 / $2,852.71	Facility		$1,062.00	$2,200.66	$2,852.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,059.58 / $1,143.69 / $1,960.61	Professional		$1,059.58	$1,143.69	$1,960.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $2,075.67	Facility		$1,018.60	$1,018.60	$2,075.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $8,699.76	Professional		$743.58	$743.58	$8,699.76
United Facility/Professional Professional Modifier Low / Median / High Price $813.25 / $1,136.04 / $1,355.42	Professional		$813.25	$1,136.04	$1,355.42