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 $78.06 / $141.47 / $175.63	Facility		$78.06	$141.47	$175.63
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 $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $750.60 / $1,475.10	Professional		$79.45	$750.60	$1,475.10
United Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $160.16 / $761.20	Professional		$62.77	$160.16	$761.20