Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.50 / $769.50 / $769.50	Facility		$769.50	$769.50	$769.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.41 / $769.50 / $827.63	Professional		$684.41	$769.50	$827.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,020.02 / $1,979.14 / $2,746.21	Facility		$1,020.02	$1,979.14	$2,746.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,020.02 / $1,098.48 / $1,759.24	Professional		$1,020.02	$1,098.48	$1,759.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,784.86	Facility		$1,105.99	$1,105.99	$1,784.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $7,480.88	Professional		$807.37	$1,105.99	$7,480.88
United Facility/Professional Professional Modifier Low / Median / High Price $777.37 / $941.56 / $1,310.68	Professional		$777.37	$941.56	$1,310.68