Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $691.83	Professional		$323.59	$416.87	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,023.29	Facility		$501.19	$501.19	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $912.01	Professional		$537.03	$537.03	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,412.54 / $1,412.54	Facility		$549.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $4,265.80	Professional		$398.11	$398.11	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $891.25	Facility		$380.19	$512.86	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $630.96	Professional		$346.74	$436.52	$630.96