Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $977.24	Professional		$489.78	$575.44	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,548.82	Facility		$741.31	$741.31	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,380.38	Professional		$812.83	$812.83	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,089.30 / $2,089.30	Facility		$812.83	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $6,309.57	Professional		$588.84	$588.84	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $1,318.26	Facility		$758.58	$776.25	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $954.99	Professional		$562.34	$724.44	$954.99