Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $426.58	Facility		$229.09	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $263.03	Professional		$199.53	$229.09	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $851.14	Facility		$234.42	$457.09	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $354.81	Professional		$117.49	$125.89	$354.81