Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.62 / $352.10 / $383.48	Facility		$348.62	$352.10	$383.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $374.78	Professional		$356.93	$356.93	$374.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $392.62 / $535.40	Facility		$356.93	$392.62	$535.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $827.56	Professional		$356.93	$356.93	$827.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $344.32 / $356.93	Facility		$336.73	$344.32	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $370.40	Professional		$356.93	$356.93	$370.40
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $378.35 / $405.08	Professional		$356.93	$378.35	$405.08