Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $353.60 / $424.32	Facility		$231.96	$353.60	$424.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $231.96 / $240.45	Professional		$212.16	$231.96	$240.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $311.17 / $424.32 / $495.04	Facility		$311.17	$424.32	$495.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $339.46 / $381.89	Professional		$339.46	$339.46	$381.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $339.46 / $848.56	Facility		$229.84	$339.46	$848.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $386.95 / $1,363.48	Professional		$110.57	$386.95	$1,363.48
United Facility/Professional Facility Modifier Low / Median / High Price $118.81 / $118.81 / $118.81	Facility		$118.81	$118.81	$118.81
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $141.44 / $381.89	Professional		$118.81	$141.44	$381.89