Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.10 / $321.10 / $321.10	Facility		$321.10	$321.10	$321.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $321.10 / $397.41	Professional		$321.10	$321.10	$397.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.65 / $846.90 / $1,145.99	Facility		$425.65	$846.90	$1,145.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $425.65 / $458.40 / $752.80	Professional		$425.65	$458.40	$752.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $807.56	Facility		$468.67	$468.67	$807.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $468.67 / $3,384.75	Professional		$342.13	$468.67	$3,384.75
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $319.87 / $436.76 / $544.49	Professional		$319.87	$436.76	$544.49