Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.95 / $933.95 / $933.95	Facility		$933.95	$933.95	$933.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.72 / $933.95 / $1,004.51	Professional		$925.72	$933.95	$1,004.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.02 / $2,637.92 / $3,428.35	Facility		$1,238.02	$2,637.92	$3,428.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,238.02 / $1,333.25 / $2,285.57	Professional		$1,238.02	$1,333.25	$2,285.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $2,431.35	Facility		$1,551.30	$1,551.30	$2,431.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $10,190.54	Professional		$1,132.45	$1,551.30	$10,190.54
United Facility/Professional Professional Modifier Low / Median / High Price $930.38 / $1,272.63 / $1,583.67	Professional		$930.38	$1,272.63	$1,583.67