Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $758.58 / $758.58	Facility		$407.38	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $467.74	Professional		$338.84	$398.11	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $1,513.56	Facility		$416.87	$812.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,398.83 / $2,398.83	Professional		$575.44	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $501.19	Professional		$213.80	$229.09	$501.19