Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $489.78 / $489.78	Facility		$263.03	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $371.54	Professional		$213.80	$257.04	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $512.86 / $977.24	Facility		$269.15	$512.86	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,548.82 / $1,548.82	Professional		$371.54	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $354.81	Professional		$134.90	$151.36	$354.81