Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.93 / $376.93 / $750.00	Facility		$376.93	$376.93	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.93 / $400.00 / $491.51	Professional		$376.93	$400.00	$491.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.75 / $249.32 / $443.50	Facility		$157.75	$249.32	$443.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $152.77 / $152.77	Professional		$152.77	$152.77	$152.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.24 / $430.24 / $1,338.02	Facility		$430.24	$430.24	$1,338.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.93 / $761.02 / $2,791.43	Professional		$326.93	$761.02	$2,791.43
United Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $754.40 / $1,452.27	Professional		$310.24	$754.40	$1,452.27