Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.86 / $383.86 / $427.71	Facility		$383.86	$383.86	$427.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $412.26	Professional		$392.63	$392.63	$412.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $431.89 / $588.95	Facility		$392.63	$431.89	$588.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $910.32	Professional		$392.63	$392.63	$910.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $374.16 / $392.63	Facility		$370.40	$374.16	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $407.45	Professional		$392.63	$392.63	$407.45
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $388.77 / $416.19 / $439.75	Professional		$388.77	$416.19	$439.75