Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $562.34	Facility		$309.03	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $354.81	Professional		$263.03	$302.00	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $602.56 / $1,122.02	Facility		$309.03	$602.56	$1,122.02
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 $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $467.74	Professional		$158.49	$169.82	$467.74