Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.44 / $368.44 / $368.44	Facility		$368.44	$368.44	$368.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $368.44 / $400.50	Professional		$368.44	$368.44	$400.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.16 / $1,125.52 / $1,352.48	Facility		$597.16	$1,125.52	$1,352.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.40 / $643.11 / $1,102.48	Professional		$488.40	$643.11	$1,102.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $1,076.64	Facility		$644.36	$644.36	$1,076.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $4,154.93	Professional		$470.38	$644.36	$4,154.93
United Facility/Professional Professional Modifier Low / Median / High Price $374.86 / $502.05 / $624.76	Professional		$374.86	$502.05	$624.76