Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.36 / $467.36 / $467.36	Facility		$467.36	$467.36	$467.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.23 / $467.36 / $502.67	Professional		$397.23	$467.36	$502.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.52 / $1,191.39 / $1,667.94	Facility		$619.52	$1,191.39	$1,667.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.49 / $667.18 / $2,209.83	Professional		$585.49	$667.18	$2,209.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $982.55	Facility		$510.69	$510.69	$982.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $4,118.16	Professional		$434.09	$510.69	$4,118.16
United Facility/Professional Professional Modifier Low / Median / High Price $465.58 / $571.87 / $792.49	Professional		$465.58	$571.87	$792.49