Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $750.00 / $900.00	Facility		$492.00	$750.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $492.00 / $510.00	Professional		$450.00	$492.00	$510.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $900.00 / $1,050.00	Facility		$660.00	$900.00	$1,050.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $810.00	Professional		$720.00	$720.00	$810.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $720.00 / $1,799.85	Facility		$487.50	$720.00	$1,799.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $821.71 / $2,892.00	Professional		$234.81	$821.71	$2,892.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $300.00 / $960.00	Professional		$252.00	$300.00	$960.00