Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $315.85 / $315.85	Facility		$315.85	$315.85	$315.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.85 / $315.85 / $413.68	Professional		$315.85	$315.85	$413.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.08 / $869.58 / $1,127.23	Facility		$474.08	$869.58	$1,127.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.68 / $510.55 / $875.23	Professional		$418.68	$510.55	$875.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $854.72	Facility		$412.94	$412.94	$854.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $412.94 / $3,500.96	Professional		$301.45	$412.94	$3,500.96
United Facility/Professional Professional Modifier Low / Median / High Price $321.35 / $430.38 / $537.98	Professional		$321.35	$430.38	$537.98