Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.91 / $293.91 / $293.91	Facility		$293.91	$293.91	$293.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $281.29 / $312.74	Professional		$273.98	$281.29	$312.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.94 / $768.02 / $995.58	Facility		$380.94	$768.02	$995.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.79 / $410.24 / $703.27	Professional		$369.79	$410.24	$703.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $686.78	Facility		$325.37	$325.37	$686.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $433.20 / $519.99	Professional		$237.52	$433.20	$519.99
United Facility/Professional Professional Modifier Low / Median / High Price $217.73 / $288.39 / $473.03	Professional		$217.73	$288.39	$473.03