Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $891.25	Facility		$489.78	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $562.34	Professional		$416.87	$478.63	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $954.99 / $1,778.28	Facility		$501.19	$954.99	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $741.31	Professional		$251.19	$269.15	$741.31