Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $692.27 / $692.27	Facility		$692.27	$692.27	$692.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.27 / $703.99 / $847.63	Professional		$692.27	$703.99	$847.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $780.25 / $780.25 / $923.49	Facility		$780.25	$780.25	$923.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $820.88 / $820.88 / $820.88	Professional		$820.88	$820.88	$820.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.13 / $854.13 / $854.13	Facility		$854.13	$854.13	$854.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.38 / $773.46 / $3,571.91	Professional		$605.38	$773.46	$3,571.91
United Facility/Professional Professional Modifier Low / Median / High Price $335.93 / $615.86 / $1,092.88	Professional		$335.93	$615.86	$1,092.88