Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.59 / $418.59 / $418.59	Facility		$418.59	$418.59	$418.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.59 / $440.35 / $520.94	Professional		$418.59	$440.35	$520.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $479.52 / $479.52 / $567.54	Facility		$479.52	$479.52	$567.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.48 / $504.48 / $504.48	Professional		$504.48	$504.48	$504.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.92 / $524.92 / $524.92	Facility		$524.92	$524.92	$524.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $475.34 / $2,195.21	Professional		$372.06	$475.34	$2,195.21
United Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $428.26 / $729.55	Professional		$276.25	$428.26	$729.55