Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $365.42 / $1,066.49	Facility		$310.61	$365.42	$1,066.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $310.61 / $310.61	Professional		$303.30	$310.61	$310.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.30 / $215.12 / $401.56	Facility		$189.30	$215.12	$401.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $607.85	Professional		$310.61	$310.61	$607.85
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $472.19	Professional		$298.30	$298.30	$472.19