Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.22 / $465.97 / $465.97	Facility		$231.22	$465.97	$465.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $465.97 / $484.42	Professional		$461.36	$465.97	$484.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $692.04	Facility		$461.36	$461.36	$692.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $1,069.69	Professional		$461.36	$461.36	$1,069.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $1,417.80 / $1,417.80	Facility		$435.24	$1,417.80	$1,417.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $1,667.22	Professional		$461.36	$461.36	$1,667.22