Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $676.08	Professional		$323.59	$426.58	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,047.13	Facility		$501.19	$501.19	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $912.01	Professional		$537.03	$537.03	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,380.38 / $1,380.38	Facility		$575.44	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $4,168.69	Professional		$416.87	$416.87	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $891.25	Facility		$407.38	$501.19	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $691.83	Professional		$389.05	$524.81	$691.83