Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.42 / $413.75 / $496.50	Facility		$271.42	$413.75	$496.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $271.42 / $281.35	Professional		$248.25	$271.42	$281.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.10 / $496.50 / $579.25	Facility		$364.10	$496.50	$579.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $397.20 / $446.85	Professional		$397.20	$397.20	$446.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.94 / $462.26 / $992.92	Facility		$268.94	$462.26	$992.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $355.89 / $1,595.42	Professional		$329.18	$355.89	$1,595.42
United Facility/Professional Facility Modifier Low / Median / High Price $198.60 / $198.60 / $198.60	Facility		$198.60	$198.60	$198.60
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $129.53 / $413.75	Professional		$108.81	$129.53	$413.75