Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $489.78	Facility		$245.47	$331.13	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $575.44	Professional		$229.09	$281.84	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $338.84	Facility		$281.84	$281.84	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $446.68 / $446.68	Facility		$34.67	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $1,584.89	Professional		$251.19	$346.74	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $691.83	Facility		$457.09	$457.09	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $416.87	Professional		$186.21	$275.42	$416.87