Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.51 / $397.51 / $397.51	Facility		$397.51	$397.51	$397.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $380.44 / $397.51	Professional		$323.64	$380.44	$397.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.13 / $961.79 / $1,346.50	Facility		$500.13	$961.79	$1,346.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.74 / $538.60 / $784.69	Professional		$457.74	$538.60	$784.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $864.69	Facility		$408.60	$408.60	$864.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $408.60 / $3,624.16	Professional		$298.27	$408.60	$3,624.16
United Facility/Professional Professional Modifier Low / Median / High Price $273.43 / $383.86 / $639.77	Professional		$273.43	$383.86	$639.77