Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $812.83	Facility		$446.68	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $616.60	Professional		$363.08	$436.52	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $1,621.81	Facility		$446.68	$870.96	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,630.27 / $2,630.27	Professional		$616.60	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $537.03	Professional		$229.09	$245.47	$537.03