Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.17 / $724.35 / $869.22	Facility		$475.17	$724.35	$869.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.61 / $469.38 / $475.17	Professional		$434.61	$469.38	$475.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.42 / $782.30 / $869.22	Facility		$637.42	$782.30	$869.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $695.38 / $695.38 / $782.30	Professional		$695.38	$695.38	$782.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.83 / $695.38 / $1,738.29	Facility		$470.83	$695.38	$1,738.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $832.20 / $3,720.19	Professional		$308.47	$832.20	$3,720.19
United Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $340.10 / $809.76	Professional		$260.77	$340.10	$809.76