Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $630.96	Professional		$281.84	$354.81	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $891.25	Facility		$426.58	$426.58	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $794.33	Professional		$457.09	$457.09	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,174.90 / $1,174.90	Facility		$407.38	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $3,548.13	Professional		$302.00	$302.00	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $758.58	Facility		$245.47	$436.52	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $549.54	Professional		$323.59	$416.87	$549.54