Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.72 / $717.72 / $717.72	Facility		$717.72	$717.72	$717.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.45 / $717.72 / $771.94	Professional		$708.45	$717.72	$771.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $1,975.94 / $2,561.41	Facility		$976.00	$1,975.94	$2,561.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $951.38 / $1,051.08 / $1,801.85	Professional		$951.38	$1,051.08	$1,801.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $1,759.62	Facility		$843.35	$843.35	$1,759.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $843.35 / $7,226.92	Professional		$716.85	$843.35	$7,226.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.61 / $1,529.61 / $1,529.61	Facility		$1,529.61	$1,529.61	$1,529.61
United Facility/Professional Professional Modifier Low / Median / High Price $730.21 / $1,014.28 / $1,217.02	Professional		$730.21	$1,014.28	$1,217.02