Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.53 / $342.53 / $342.53	Facility		$342.53	$342.53	$342.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.53 / $342.53 / $368.41	Professional		$342.53	$342.53	$368.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.05 / $943.03 / $1,224.72	Facility		$454.05	$943.03	$1,224.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $454.05 / $488.98 / $838.25	Professional		$454.05	$488.98	$838.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $910.10	Facility		$555.76	$555.76	$910.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $555.76 / $3,814.50	Professional		$405.70	$555.76	$3,814.50
United Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $486.81 / $580.82	Professional		$348.49	$486.81	$580.82