Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.55 / $369.74 / $443.69	Facility		$242.55	$369.74	$443.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $242.55 / $251.42	Professional		$221.84	$242.55	$251.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $399.32 / $488.05	Facility		$295.79	$399.32	$488.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $399.32 / $399.32	Professional		$295.79	$399.32	$399.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.33 / $732.19 / $918.65	Facility		$240.33	$732.19	$918.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.35 / $407.16 / $1,425.71	Professional		$116.35	$407.16	$1,425.71
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $147.90 / $535.50	Professional		$124.23	$147.90	$535.50