Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $776.25 / $776.25	Facility		$281.84	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $549.54	Professional		$263.03	$316.23	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Facility		$316.23	$316.23	$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 $512.86 / $512.86 / $1,318.26	Facility		$512.86	$512.86	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $2,089.30	Professional		$288.40	$398.11	$2,089.30
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 $223.87 / $331.13 / $478.63	Professional		$223.87	$331.13	$478.63