Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $364.20 / $437.04	Facility		$238.92	$364.20	$437.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $238.92 / $247.66	Professional		$218.52	$238.92	$247.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $393.34 / $480.74	Facility		$291.36	$393.34	$480.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $393.34 / $393.34	Professional		$291.36	$393.34	$393.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.73 / $544.91 / $873.99	Facility		$236.73	$544.91	$873.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.13 / $401.24 / $1,404.36	Professional		$371.13	$401.24	$1,404.36
United Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $145.90 / $466.18	Professional		$122.56	$145.90	$466.18