Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.45 / $670.26 / $670.26	Facility		$502.45	$670.26	$670.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $670.26 / $696.81	Professional		$663.63	$670.26	$696.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $995.45	Facility		$663.63	$663.63	$995.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $1,538.66	Professional		$663.63	$663.63	$1,538.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $850.00 / $850.00	Facility		$626.05	$850.00	$850.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $999.90	Professional		$663.63	$663.63	$999.90