Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.43 / $349.43 / $349.43	Facility		$349.43	$349.43	$349.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $310.50 / $349.43	Professional		$265.02	$310.50	$349.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $77.45 / $870.00	Facility		$33.56	$77.45	$870.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $36.14 / $450.11	Professional		$33.56	$36.14	$450.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.50 / $498.50 / $498.50	Facility		$498.50	$498.50	$498.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $40.57 / $238.11	Professional		$40.57	$40.57	$238.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $47.76 / $287.25	Professional		$28.66	$47.76	$287.25