Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $489.26 / $489.26	Facility		$489.26	$489.26	$489.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $477.75 / $489.26	Professional		$460.48	$477.75	$489.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.38 / $686.38 / $44,999.55	Facility		$686.38	$686.38	$44,999.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $686.38 / $686.38 / $686.38	Professional		$686.38	$686.38	$686.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $489.26 / $508.43	Facility		$489.26	$489.26	$508.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $508.43	Professional		$508.43	$508.43	$508.43
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $610.14 / $644.66	Professional		$575.60	$610.14	$644.66