Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,148.15	Professional		$489.78	$645.65	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,548.82	Facility		$758.58	$758.58	$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 $933.25 / $2,089.30 / $2,089.30	Facility		$933.25	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $6,309.57	Professional		$676.08	$676.08	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $1,348.96	Facility		$478.63	$758.58	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,023.29	Professional		$575.44	$776.25	$1,023.29