Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.02 / $720.64 / $720.64	Facility		$659.02	$720.64	$720.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $720.64 / $749.18	Professional		$713.50	$720.64	$749.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $1,070.25	Facility		$713.50	$713.50	$1,070.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,654.28	Professional		$713.50	$713.50	$1,654.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $1,351.50 / $1,351.50	Facility		$673.11	$1,351.50	$1,351.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,460.98	Professional		$713.50	$713.50	$1,460.98