Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.28 / $951.28 / $951.28	Facility		$951.28	$951.28	$951.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.90 / $951.28 / $1,023.15	Professional		$942.90	$951.28	$1,023.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.99 / $2,618.98 / $3,394.98	Facility		$1,260.99	$2,618.98	$3,394.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,260.99 / $1,357.99 / $2,327.98	Professional		$1,260.99	$1,357.99	$2,327.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $2,287.83	Facility		$1,254.96	$1,254.96	$2,287.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $9,589.00	Professional		$916.12	$1,254.96	$9,589.00
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $967.84 / $1,351.99 / $1,613.06	Professional		$967.84	$1,351.99	$1,613.06