Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.64 / $408.64 / $408.64	Facility		$408.64	$408.64	$408.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $391.09 / $512.59	Professional		$380.94	$391.09	$512.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $615.03 / $1,067.82 / $1,384.22	Facility		$615.03	$1,067.82	$1,384.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $514.14 / $662.34 / $1,135.44	Professional		$514.14	$662.34	$1,135.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $1,108.82	Facility		$494.25	$494.25	$1,108.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $4,278.52	Professional		$360.80	$494.25	$4,278.52
United Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $422.81 / $657.69	Professional		$330.74	$422.81	$657.69