Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $758.58	Facility		$416.87	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $478.63	Professional		$338.84	$407.38	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $812.83 / $1,513.56	Facility		$426.58	$812.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,454.71 / $2,454.71	Professional		$588.84	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $512.86	Professional		$213.80	$229.09	$512.86