Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Facility		$301.35	$301.35	$301.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $398.26	Professional		$301.35	$301.35	$398.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.46 / $829.64 / $1,075.46	Facility		$399.46	$829.64	$1,075.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.46 / $430.19 / $737.46	Professional		$399.46	$430.19	$737.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $796.62	Facility		$452.18	$452.18	$796.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $452.18 / $3,338.86	Professional		$330.09	$452.18	$3,338.86
United Facility/Professional Facility Modifier Low / Median / High Price $696.49 / $696.49 / $696.49	Facility		$696.49	$696.49	$696.49
United Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $428.28 / $510.99	Professional		$306.58	$428.28	$510.99