Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.67 / $344.67 / $344.67	Facility		$344.67	$344.67	$344.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $344.67 / $370.71	Professional		$341.64	$344.67	$370.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.89 / $948.92 / $1,230.08	Facility		$456.89	$948.92	$1,230.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $456.89 / $492.03 / $843.48	Professional		$456.89	$492.03	$843.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $903.51	Facility		$527.25	$527.25	$903.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $527.25 / $3,786.88	Professional		$384.89	$527.25	$3,786.88
United Facility/Professional Professional Modifier Low / Median / High Price $350.67 / $489.86 / $584.45	Professional		$350.67	$489.86	$584.45