Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.02 / $810.02 / $810.02	Facility		$810.02	$810.02	$810.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.02 / $810.02 / $871.22	Professional		$810.02	$810.02	$871.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,180.75 / $2,354.05 / $2,973.44	Facility		$1,180.75	$2,354.05	$2,973.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,073.74 / $1,271.58 / $2,179.85	Professional		$1,073.74	$1,271.58	$2,179.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $2,128.75	Facility		$1,324.18	$1,324.18	$2,128.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,324.18 / $8,866.15	Professional		$966.65	$1,324.18	$8,866.15
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.12 / $1,151.21 / $1,373.53	Professional		$824.12	$1,151.21	$1,373.53