Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.18 / $450.09 / $748.50	Facility		$409.18	$450.09	$748.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $409.18 / $450.09	Professional		$374.25	$409.18	$450.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.90 / $748.50 / $873.25	Facility		$548.90	$748.50	$873.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $598.79 / $598.79 / $673.65	Professional		$598.79	$598.79	$673.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.44 / $1,235.42 / $3,120.21	Facility		$405.44	$1,235.42	$3,120.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,405.17 / $2,405.17 / $2,405.17	Professional		$2,405.17	$2,405.17	$2,405.17
United Facility/Professional Facility Modifier Low / Median / High Price $209.58 / $209.58 / $209.58	Facility		$209.58	$209.58	$209.58
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $249.50 / $723.55	Professional		$209.58	$249.50	$723.55