Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.30 / $928.30 / $928.30	Facility		$928.30	$928.30	$928.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.49 / $928.30 / $998.43	Professional		$856.49	$928.30	$998.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,385.14 / $2,664.65 / $3,407.60	Facility		$1,385.14	$2,664.65	$3,407.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.52 / $1,491.69 / $2,557.17	Professional		$1,230.52	$1,491.69	$2,557.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,497.25	Facility		$1,498.90	$1,498.90	$2,497.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $9,802.10	Professional		$1,094.20	$1,498.90	$9,802.10
United Facility/Professional Professional Modifier Low / Median / High Price $924.74 / $1,228.08 / $1,644.40	Professional		$924.74	$1,228.08	$1,644.40