Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.16 / $297.50 / $357.00	Facility		$195.16	$297.50	$357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $195.16 / $202.30	Professional		$178.50	$195.16	$202.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $357.00 / $416.50	Facility		$261.80	$357.00	$416.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $285.60 / $321.30	Professional		$285.60	$285.60	$321.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.38 / $285.60 / $713.94	Facility		$193.38	$285.60	$713.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $222.31 / $1,147.16	Professional		$205.62	$222.31	$1,147.16
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $83.30 / $292.70	Professional		$67.91	$83.30	$292.70