Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.39 / $943.39 / $943.39	Facility		$943.39	$943.39	$943.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.75 / $764.15 / $943.39	Professional		$517.75	$764.15	$943.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $700.30 / $1,454.46 / $1,885.42	Facility		$700.30	$1,454.46	$1,885.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $754.17 / $969.64 / $1,292.85	Professional		$754.17	$969.64	$1,292.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.46 / $1,396.46 / $1,396.46	Facility		$1,396.46	$1,396.46	$1,396.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $5,852.97	Professional		$517.14	$517.14	$5,852.97
United Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $596.72 / $899.85	Professional		$450.50	$596.72	$899.85