Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.96 / $952.96 / $952.96	Facility		$952.96	$952.96	$952.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.39 / $952.96 / $1,024.95	Professional		$834.39	$952.96	$1,024.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.21 / $2,619.54 / $3,416.79	Facility		$1,263.21	$2,619.54	$3,416.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,263.21 / $1,360.38 / $2,186.64	Professional		$1,263.21	$1,360.38	$2,186.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,307.77	Facility		$1,473.53	$1,473.53	$2,307.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,473.53 / $9,672.58	Professional		$1,075.68	$1,473.53	$9,672.58
United Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,168.67 / $1,623.15	Professional		$966.65	$1,168.67	$1,623.15