Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $645.65	Professional		$309.03	$389.05	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $977.24	Facility		$478.63	$478.63	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $870.96	Professional		$512.86	$512.86	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,288.25 / $1,288.25	Facility		$457.09	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $3,801.89	Professional		$331.13	$331.13	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $478.63 / $851.14	Facility		$363.08	$478.63	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $660.69	Professional		$371.54	$512.86	$660.69