Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.72 / $700.72 / $700.72	Facility		$700.72	$700.72	$700.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.72 / $700.72 / $753.66	Professional		$700.72	$700.72	$753.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $928.85 / $1,855.13 / $2,500.75	Facility		$928.85	$1,855.13	$2,500.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $928.85 / $1,000.30 / $1,649.00	Professional		$928.85	$1,000.30	$1,649.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,747.08	Facility		$1,036.33	$1,036.33	$1,747.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $7,322.54	Professional		$756.53	$1,036.33	$7,322.54
United Facility/Professional Professional Modifier Low / Median / High Price $712.91 / $1,022.76 / $1,193.51	Professional		$712.91	$1,022.76	$1,193.51