Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.50 / $381.50 / $381.50	Facility		$381.50	$381.50	$381.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.50 / $381.50 / $459.19	Professional		$381.50	$381.50	$459.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $614.10 / $1,050.30 / $1,361.50	Facility		$614.10	$1,050.30	$1,361.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.70 / $661.34 / $1,133.72	Professional		$505.70	$661.34	$1,133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $1,107.16	Facility		$511.94	$511.94	$1,107.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $4,055.02	Professional		$373.72	$373.72	$4,055.02
United Facility/Professional Professional Modifier Low / Median / High Price $388.14 / $493.81 / $646.90	Professional		$388.14	$493.81	$646.90