Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $1,494.20	Facility		$416.78	$416.78	$1,494.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $563.34	Professional		$416.78	$416.78	$563.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $500.14	Facility		$416.78	$416.78	$500.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $270.91 / $416.78	Professional		$270.91	$270.91	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $314.26 / $544.53	Facility		$270.91	$314.26	$544.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
United Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $250.07 / $566.82	Professional		$175.07	$250.07	$566.82