Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $1,445.44	Facility		$77.62	$77.62	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,513.56	Professional		$1,412.54	$1,412.54	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,089.30	Facility		$1,348.96	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $6,025.60	Professional		$1,412.54	$1,412.54	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,445.44 / $1,737.80	Professional		$125.89	$1,445.44	$1,737.80