Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.50 / $456.50 / $456.50	Facility		$456.50	$456.50	$456.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $687.60 / $1,005.44	Professional		$456.50	$687.60	$1,005.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $97.57 / $97.57	Facility		$97.57	$97.57	$97.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $97.57 / $97.57	Professional		$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $71.76 / $4,321.62	Professional		$71.76	$71.76	$4,321.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $62.77 / $178.24	Professional		$40.57	$62.77	$178.24