Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $575.44	Facility		$309.03	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $354.81	Professional		$263.03	$309.03	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $1,148.15	Facility		$316.23	$602.56	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $478.63	Professional		$158.49	$169.82	$478.63