Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.28 / $546.28 / $546.28	Facility		$546.28	$546.28	$546.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.40 / $522.82 / $546.28	Professional		$476.40	$522.82	$546.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $687.30 / $1,394.62 / $1,850.43	Facility		$687.30	$1,394.62	$1,850.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $687.30 / $740.17 / $1,239.66	Professional		$687.30	$740.17	$1,239.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $1,264.46	Facility		$751.98	$751.98	$1,264.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $548.95 / $5,299.73	Professional		$548.95	$548.95	$5,299.73
United Facility/Professional Facility Modifier Low / Median / High Price $479.78 / $479.78 / $479.78	Facility		$479.78	$479.78	$479.78
United Facility/Professional Professional Modifier Low / Median / High Price $405.75 / $527.52 / $827.59	Professional		$405.75	$527.52	$827.59