Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.26 / $579.00 / $629.03	Professional		$496.26	$579.00	$629.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $98.49 / $735.96	Facility		$62.57	$98.49	$735.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $103.98 / $136.38	Professional		$67.38	$103.98	$136.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $1,050.24	Facility		$458.33	$458.33	$1,050.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $458.33 / $675.18	Professional		$75.66	$458.33	$675.18
United Facility/Professional Professional Modifier Low / Median / High Price $480.24 / $580.79 / $1,258.34	Professional		$480.24	$580.79	$1,258.34