Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $741.31	Professional		$380.19	$426.58	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,202.26	Facility		$575.44	$575.44	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,047.13	Professional		$616.60	$616.60	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,412.54 / $1,412.54	Facility		$630.96	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $4,168.69	Professional		$457.09	$457.09	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $912.01	Facility		$512.86	$512.86	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $707.95	Professional		$398.11	$549.54	$707.95