Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $483.70 / $483.70	Facility		$411.15	$483.70	$483.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $411.15	Professional		$386.96	$401.47	$411.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.80 / $32,999.67 / $69,999.30	Facility		$576.80	$32,999.67	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.80 / $576.80 / $576.80	Professional		$576.80	$576.80	$576.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $447.42 / $483.70	Professional		$403.08	$447.42	$483.70