Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.97 / $293.97 / $293.97	Facility		$293.97	$293.97	$293.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $293.97 / $378.69	Professional		$293.97	$293.97	$378.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.68 / $789.59 / $1,049.14	Facility		$389.68	$789.59	$1,049.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.68 / $419.66 / $701.22	Professional		$389.68	$419.66	$701.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $765.56	Facility		$483.85	$483.85	$765.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $483.85 / $3,208.67	Professional		$353.21	$483.85	$3,208.67
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $400.58 / $498.48	Professional		$299.08	$400.58	$498.48