Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.53 / $950.53 / $950.53	Facility		$950.53	$950.53	$950.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.24 / $950.53 / $1,022.34	Professional		$946.24	$950.53	$1,022.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.65 / $2,707.57 / $3,489.19	Facility		$1,303.65	$2,707.57	$3,489.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,259.99 / $1,403.93 / $2,406.73	Professional		$1,259.99	$1,403.93	$2,406.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $2,397.58	Facility		$1,576.65	$1,576.65	$2,397.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $10,048.98	Professional		$1,150.95	$1,576.65	$10,048.98
United Facility/Professional Professional Modifier Low / Median / High Price $967.07 / $1,307.51 / $1,611.78	Professional		$967.07	$1,307.51	$1,611.78