Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.77 / $322.77 / $322.77	Facility		$322.77	$322.77	$322.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $322.77 / $347.16	Professional		$322.77	$322.77	$347.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.86 / $822.81 / $1,151.94	Facility		$427.86	$822.81	$1,151.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.49 / $460.78 / $689.98	Professional		$402.49	$460.78	$689.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $734.30	Facility		$444.49	$444.49	$734.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $444.49 / $3,077.67	Professional		$324.48	$444.49	$3,077.67
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $400.70 / $547.32	Professional		$323.75	$400.70	$547.32