Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.91 / $631.91 / $631.91	Facility		$631.91	$631.91	$631.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $631.91 / $835.12	Professional		$631.91	$631.91	$835.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,030.95 / $1,739.73 / $2,255.21	Facility		$1,030.95	$1,739.73	$2,255.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $837.65 / $1,159.82 / $2,061.90	Professional		$837.65	$1,159.82	$2,061.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $2,013.58	Facility		$908.11	$908.11	$2,013.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $7,011.36	Professional		$662.92	$662.92	$7,011.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,460.51 / $1,460.51 / $1,460.51	Facility		$1,460.51	$1,460.51	$1,460.51
United Facility/Professional Professional Modifier Low / Median / High Price $642.91 / $898.09 / $1,076.33	Professional		$642.91	$898.09	$1,076.33