Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.23 / $429.23 / $429.23	Facility		$429.23	$429.23	$429.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.23 / $429.23 / $567.26	Professional		$429.23	$429.23	$567.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.98 / $1,181.74 / $1,531.88	Facility		$568.98	$1,181.74	$1,531.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $568.98 / $612.75 / $1,050.43	Professional		$568.98	$612.75	$1,050.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $1,159.67	Facility		$612.94	$612.94	$1,159.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $4,860.54	Professional		$447.45	$612.94	$4,860.54
United Facility/Professional Facility Modifier Low / Median / High Price $577.08 / $577.08 / $672.95	Facility		$577.08	$577.08	$672.95
United Facility/Professional Professional Modifier Low / Median / High Price $436.70 / $610.04 / $727.84	Professional		$436.70	$610.04	$727.84