Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Facility		$420.00	$420.00	$420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $420.00 / $451.74	Professional		$416.30	$420.00	$451.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $573.49 / $1,156.30 / $1,498.91	Facility		$573.49	$1,156.30	$1,498.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.74 / $617.60 / $1,058.75	Professional		$556.74	$617.60	$1,058.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $1,033.93	Facility		$624.54	$624.54	$1,033.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $4,208.72	Professional		$455.91	$624.54	$4,208.72
United Facility/Professional Professional Modifier Low / Median / High Price $418.39 / $546.32 / $712.19	Professional		$418.39	$546.32	$712.19