Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $562.34	Professional		$323.59	$398.11	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $602.56	Facility		$46.77	$46.77	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $645.65	Professional		$50.12	$50.12	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $524.81 / $831.76	Facility		$83.18	$524.81	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $257.04 / $2,238.72	Professional		$56.23	$257.04	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $316.23 / $501.19	Facility		$44.67	$316.23	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $758.58	Professional		$269.15	$407.38	$758.58