Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.11 / $321.81 / $386.18	Facility		$211.11	$321.81	$386.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $211.11 / $218.83	Professional		$193.09	$211.11	$218.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.20 / $386.18 / $450.54	Facility		$283.20	$386.18	$450.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $308.94 / $347.56	Professional		$308.94	$308.94	$347.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.18 / $308.94 / $772.27	Facility		$209.18	$308.94	$772.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $482.58 / $1,240.91	Professional		$146.49	$482.58	$1,240.91
United Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $176.94 / $513.13	Professional		$115.85	$176.94	$513.13