Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.53 / $394.53 / $394.53	Facility		$394.53	$394.53	$394.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.53 / $394.53 / $424.33	Professional		$394.53	$394.53	$424.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.98 / $1,005.73 / $1,408.02	Facility		$522.98	$1,005.73	$1,408.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.98 / $563.21 / $773.10	Professional		$450.98	$563.21	$773.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $885.10	Facility		$402.56	$402.56	$885.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $402.56 / $3,709.71	Professional		$293.87	$402.56	$3,709.71
United Facility/Professional Professional Modifier Low / Median / High Price $393.01 / $484.15 / $671.98	Professional		$393.01	$484.15	$671.98