Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $524.81	Professional		$275.42	$346.74	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $933.25	Facility		$457.09	$457.09	$933.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $831.76	Professional		$489.78	$489.78	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,096.48 / $1,096.48	Facility		$436.52	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $3,311.31	Professional		$316.23	$316.23	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $707.95	Facility		$309.03	$309.03	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $630.96	Professional		$288.40	$416.87	$630.96