Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.70 / $469.06 / $562.88	Facility		$307.70	$469.06	$562.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $307.70 / $318.95	Professional		$281.44	$307.70	$318.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.78 / $562.88 / $656.69	Facility		$412.78	$562.88	$656.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $450.30 / $506.59	Professional		$450.30	$450.30	$506.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.89 / $450.30 / $1,125.64	Facility		$304.89	$450.30	$1,125.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $128.16 / $1,808.71	Professional		$118.54	$128.16	$1,808.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $93.24 / $225.15	Professional		$39.15	$93.24	$225.15