Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $467.74	Facility		$309.03	$309.03	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $407.38	Professional		$309.03	$309.03	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $758.58 / $758.58	Facility		$288.40	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,380.38	Professional		$309.03	$309.03	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $489.78	Professional		$309.03	$323.59	$489.78