Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.15 / $495.15 / $495.15	Facility		$495.15	$495.15	$495.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.58 / $438.08 / $495.15	Professional		$396.58	$438.08	$495.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $91.04 / $639.09	Facility		$47.34	$91.04	$639.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $50.98 / $688.25	Professional		$47.34	$50.98	$688.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $840.40	Facility		$370.80	$370.80	$840.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $370.80 / $2,279.42	Professional		$57.24	$370.80	$2,279.42
United Facility/Professional Professional Modifier Low / Median / High Price $271.31 / $411.80 / $799.64	Professional		$271.31	$411.80	$799.64