Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.18 / $869.18 / $869.18	Facility		$869.18	$869.18	$869.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $680.88 / $896.80	Professional		$516.40	$680.88	$896.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $155.25 / $303.32	Facility		$95.13	$155.25	$303.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $68.30 / $226.22	Professional		$63.42	$68.30	$226.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.06 / $1,045.06 / $1,045.06	Facility		$1,045.06	$1,045.06	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $2,460.98	Professional		$24.99	$24.99	$2,460.98
United Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $160.16 / $587.78	Professional		$62.77	$160.16	$587.78