Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.95 / $428.95 / $428.95	Facility		$428.95	$428.95	$428.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.95 / $428.95 / $510.77	Professional		$428.95	$428.95	$510.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.61 / $1,180.95 / $1,560.83	Facility		$568.61	$1,180.95	$1,560.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $568.61 / $612.35 / $1,049.74	Professional		$568.61	$612.35	$1,049.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $1,145.88	Facility		$673.11	$673.11	$1,145.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $4,802.74	Professional		$491.37	$673.11	$4,802.74
United Facility/Professional Professional Modifier Low / Median / High Price $436.42 / $576.70 / $727.36	Professional		$436.42	$576.70	$727.36