Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.49 / $865.49 / $865.49	Facility		$865.49	$865.49	$865.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.35 / $865.49 / $930.87	Professional		$840.35	$865.49	$930.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,147.27 / $2,206.29 / $3,088.80	Facility		$1,147.27	$2,206.29	$3,088.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,080.52 / $1,235.52 / $1,852.32	Professional		$1,080.52	$1,235.52	$1,852.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,997.15	Facility		$1,260.83	$1,260.83	$1,997.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $8,370.65	Professional		$920.41	$1,260.83	$8,370.65
United Facility/Professional Professional Modifier Low / Median / High Price $869.14 / $1,160.02 / $1,599.07	Professional		$869.14	$1,160.02	$1,599.07