Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.88 / $442.88 / $442.88	Facility		$442.88	$442.88	$442.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.85 / $399.38 / $442.88	Professional		$367.85	$399.38	$442.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.16 / $83.00 / $535.89	Facility		$43.16	$83.00	$535.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $46.48 / $577.12	Professional		$43.16	$46.48	$577.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $743.22	Facility		$316.74	$316.74	$743.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $316.74 / $3,115.07	Professional		$52.19	$316.74	$3,115.07
United Facility/Professional Professional Modifier Low / Median / High Price $227.33 / $334.26 / $680.63	Professional		$227.33	$334.26	$680.63