Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.42 / $413.75 / $496.50	Facility		$271.42	$413.75	$496.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $271.42 / $281.35	Professional		$248.25	$271.42	$281.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.10 / $496.50 / $579.25	Facility		$364.10	$496.50	$579.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $397.20 / $446.85	Professional		$397.20	$397.20	$446.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.94 / $644.30 / $992.92	Facility		$268.94	$644.30	$992.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $253.86 / $1,595.42	Professional		$234.80	$253.86	$1,595.42
United Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $115.85 / $334.22	Professional		$77.54	$115.85	$334.22