Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.41 / $317.41 / $317.41	Facility		$317.41	$317.41	$317.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.41 / $317.41 / $341.40	Professional		$317.41	$317.41	$341.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.75 / $873.87 / $1,158.99	Facility		$420.75	$873.87	$1,158.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.75 / $453.12 / $734.27	Professional		$420.75	$453.12	$734.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $755.96	Facility		$499.82	$499.82	$755.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $499.82 / $3,168.48	Professional		$364.87	$499.82	$3,168.48
United Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $445.50	Facility		$382.03	$382.03	$445.50
United Facility/Professional Professional Modifier Low / Median / High Price $322.94 / $403.85 / $538.23	Professional		$322.94	$403.85	$538.23