Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.90 / $729.90 / $729.90	Facility		$729.90	$729.90	$729.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.98 / $623.25 / $729.90	Professional		$450.98	$623.25	$729.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $155.41 / $1,848.75	Facility		$67.34	$155.41	$1,848.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $72.53 / $917.03	Professional		$67.34	$72.53	$917.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $1,144.70 / $1,144.70	Facility		$546.85	$1,144.70	$1,144.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $546.85 / $4,445.00	Professional		$81.44	$546.85	$4,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $114.47 / $659.85	Professional		$55.19	$114.47	$659.85