Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.62 / $632.62 / $764.58	Facility		$632.62	$632.62	$764.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.05 / $538.29 / $755.61	Professional		$489.05	$538.29	$755.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $532.17 / $592.12 / $645.11	Facility		$532.17	$592.12	$645.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.72 / $573.42 / $573.42	Professional		$297.72	$573.42	$573.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.34 / $853.34 / $853.34	Facility		$853.34	$853.34	$853.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.16 / $709.98 / $1,417.94	Professional		$486.16	$709.98	$1,417.94
United Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $596.79 / $850.58	Professional		$382.93	$596.79	$850.58