Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $386.90 / $421.38	Facility		$383.07	$386.90	$421.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $410.62	Professional		$391.06	$391.07	$410.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $430.18 / $586.61	Facility		$391.07	$430.18	$586.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $906.71	Professional		$391.07	$391.07	$906.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $376.31 / $391.07	Facility		$368.93	$376.31	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $405.83	Professional		$391.07	$391.07	$405.83
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $430.18 / $442.72	Professional		$391.07	$430.18	$442.72