Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.60 / $345.60 / $345.60	Facility		$345.60	$345.60	$345.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $314.77 / $345.60	Professional		$289.12	$314.77	$345.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $78.50 / $459.20	Facility		$34.01	$78.50	$459.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $36.63 / $494.52	Professional		$34.01	$36.63	$494.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $543.00	Facility		$338.00	$338.00	$543.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $338.00 / $1,442.19	Professional		$41.13	$338.00	$1,442.19
United Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $219.91 / $480.58	Professional		$171.65	$219.91	$480.58