Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.59 / $496.82 / $925.12	Facility		$479.59	$496.82	$925.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $479.58 / $527.54	Professional		$474.83	$479.58	$527.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $712.26 / $712.26	Facility		$474.84	$712.26	$712.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $474.84 / $932.03	Facility		$447.96	$474.84	$932.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $865.12	Professional		$474.84	$474.84	$865.12
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $503.33 / $1,036.23	Professional		$474.84	$503.33	$1,036.23