Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $375.00 / $450.00	Facility		$246.00	$375.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $246.00 / $255.00	Professional		$225.00	$246.00	$255.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $450.00 / $525.00	Facility		$330.00	$450.00	$525.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $405.00	Professional		$360.00	$360.00	$405.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.75 / $506.11 / $899.93	Facility		$243.75	$506.11	$899.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $120.27 / $1,446.00	Professional		$111.25	$120.27	$1,446.00
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Facility		$180.00	$180.00	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $87.60 / $180.00	Professional		$36.79	$87.60	$180.00