Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.30 / $492.30 / $492.30	Facility		$492.30	$492.30	$492.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.30 / $492.30 / $529.49	Professional		$492.30	$492.30	$529.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.91 / $1,360.17 / $1,774.14	Facility		$655.91	$1,360.17	$1,774.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.57 / $706.36 / $1,210.91	Professional		$652.57	$706.36	$1,210.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,311.51	Facility		$765.11	$765.11	$1,311.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $5,496.92	Professional		$558.53	$765.11	$5,496.92
United Facility/Professional Professional Modifier Low / Median / High Price $500.87 / $699.66 / $834.78	Professional		$500.87	$699.66	$834.78