Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $287.32 / $309.02	Professional		$284.77	$287.32	$309.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.86 / $791.02 / $1,025.40	Facility		$380.86	$791.02	$1,025.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.86 / $410.16 / $703.13	Professional		$380.86	$410.16	$703.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $768.84	Facility		$379.03	$379.03	$768.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $3,222.46	Professional		$276.69	$276.69	$3,222.46
United Facility/Professional Professional Modifier Low / Median / High Price $292.32 / $408.34 / $487.20	Professional		$292.32	$408.34	$487.20