Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.44 / $1,242.00 / $1,242.00	Facility		$484.44	$1,242.00	$1,242.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $261.60 / $264.83	Professional		$242.22	$261.60	$264.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.26 / $436.00 / $484.44	Facility		$355.26	$436.00	$484.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $387.55 / $436.00	Professional		$387.55	$387.55	$436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.39 / $387.55 / $968.78	Facility		$262.39	$387.55	$968.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.82 / $463.59 / $1,556.67	Professional		$183.82	$463.59	$1,556.67
United Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $177.93 / $516.74	Professional		$145.33	$177.93	$516.74