Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.86 / $924.24 / $924.24	Facility		$456.86	$924.24	$924.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $924.24 / $960.84	Professional		$915.09	$924.24	$960.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $1,372.64	Facility		$915.09	$915.09	$1,372.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $2,121.69	Professional		$915.09	$915.09	$2,121.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $1,417.80 / $1,417.80	Facility		$863.29	$1,417.80	$1,417.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,667.22	Professional		$915.09	$915.09	$1,667.22