Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.60 / $390.60 / $390.60	Facility		$390.60	$390.60	$390.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.12 / $373.83 / $390.60	Professional		$364.12	$373.83	$390.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.58 / $1,112.88 / $1,360.93	Facility		$537.58	$1,112.88	$1,360.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $491.45 / $578.92 / $992.45	Professional		$491.45	$578.92	$992.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.01 / $626.01 / $990.54	Facility		$626.01	$626.01	$990.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.99 / $626.01 / $4,151.66	Professional		$456.99	$626.01	$4,151.66
United Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $406.88 / $628.66	Professional		$316.14	$406.88	$628.66