Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.67 / $902.67 / $902.67	Facility		$902.67	$902.67	$902.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.71 / $902.67 / $970.87	Professional		$894.71	$902.67	$970.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,232.54 / $2,485.16 / $3,221.51	Facility		$1,232.54	$2,485.16	$3,221.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,196.56 / $1,327.35 / $2,275.44	Professional		$1,196.56	$1,327.35	$2,275.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $2,222.12	Facility		$1,329.56	$1,329.56	$2,222.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $9,045.45	Professional		$970.58	$970.58	$9,045.45
United Facility/Professional Professional Modifier Low / Median / High Price $918.38 / $1,175.89 / $1,530.63	Professional		$918.38	$1,175.89	$1,530.63