Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.60 / $406.60 / $406.60	Facility		$406.60	$406.60	$406.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.56 / $406.60 / $426.68	Professional		$406.56	$406.60	$426.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.15 / $139.31 / $515.48	Facility		$102.15	$139.31	$515.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $143.76 / $458.21	Professional		$111.44	$143.76	$458.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.80 / $482.80 / $482.80	Facility		$482.80	$482.80	$482.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $534.58 / $1,994.08	Professional		$324.56	$534.58	$1,994.08
United Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $565.91 / $888.43	Professional		$343.60	$565.91	$888.43