Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.04 / $916.04 / $916.04	Facility		$916.04	$916.04	$916.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.04 / $916.04 / $1,210.60	Professional		$916.04	$916.04	$1,210.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,214.27 / $2,660.20 / $3,362.58	Facility		$1,214.27	$2,660.20	$3,362.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,214.27 / $1,307.67 / $2,241.71	Professional		$1,214.27	$1,307.67	$2,241.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $2,406.57	Facility		$1,167.30	$1,167.30	$2,406.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $10,086.67	Professional		$852.13	$1,167.30	$10,086.67
United Facility/Professional Professional Modifier Low / Median / High Price $931.98 / $1,301.89 / $1,553.30	Professional		$931.98	$1,301.89	$1,553.30