Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.72 / $817.72 / $817.72	Facility		$817.72	$817.72	$817.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.72 / $817.72 / $879.49	Professional		$817.72	$817.72	$879.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $731.18 / $1,334.08 / $2,501.40	Facility		$731.18	$1,334.08	$2,501.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $1,083.94 / $1,500.84	Professional		$456.13	$1,083.94	$1,500.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $1,909.00	Facility		$926.75	$926.75	$1,909.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.74 / $787.74 / $7,987.75	Professional		$787.74	$787.74	$7,987.75
United Facility/Professional Professional Modifier Low / Median / High Price $831.95 / $1,033.59 / $1,386.58	Professional		$831.95	$1,033.59	$1,386.58