Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.59 / $352.51 / $352.51	Facility		$249.59	$352.51	$352.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $352.51 / $366.47	Professional		$349.02	$352.51	$366.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $523.53	Facility		$349.02	$349.02	$523.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $809.22	Professional		$349.02	$349.02	$809.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $688.50 / $688.50	Facility		$329.26	$688.50	$688.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Professional		$349.01	$349.01	$349.01
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $1,139.54	Professional		$349.02	$349.02	$1,139.54