Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.66 / $622.44 / $622.44	Facility		$604.66	$622.44	$622.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $590.42 / $604.66	Professional		$569.09	$590.42	$604.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $352.44 / $363.92 / $636.86	Facility		$352.44	$363.92	$636.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.44 / $352.44 / $363.92	Professional		$352.44	$352.44	$363.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $471.24 / $628.37	Facility		$471.24	$471.24	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $658.01 / $858.55	Professional		$592.79	$658.01	$858.55