Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.31 / $288.31 / $288.31	Facility		$288.31	$288.31	$288.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.76 / $275.93 / $327.83	Professional		$268.76	$275.93	$327.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.83 / $753.39 / $976.62	Facility		$411.83	$753.39	$976.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $443.51 / $760.31	Professional		$362.75	$443.51	$760.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $742.49	Facility		$419.04	$419.04	$742.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $419.04 / $3,050.29	Professional		$305.89	$419.04	$3,050.29
United Facility/Professional Professional Modifier Low / Median / High Price $233.35 / $293.57 / $464.02	Professional		$233.35	$293.57	$464.02