Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $575.44	Professional		$263.03	$323.59	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $831.76	Facility		$398.11	$398.11	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $741.31	Professional		$426.58	$426.58	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,096.48	Facility		$457.09	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $3,311.31	Professional		$331.13	$331.13	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $707.95	Facility		$407.38	$407.38	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $512.86	Professional		$302.00	$389.05	$512.86