Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $630.96	Facility		$398.11	$398.11	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $549.54	Professional		$338.84	$416.87	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $812.83	Professional		$407.38	$501.19	$812.83