Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $275.39 / $324.00	Facility		$275.39	$275.39	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $302.93	Professional		$275.39	$275.39	$302.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.02 / $44,999.55 / $123,055.76	Facility		$390.02	$44,999.55	$123,055.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $302.39 / $302.39	Facility		$275.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $411.48	Professional		$302.39	$302.39	$411.48
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $324.00 / $324.00	Professional		$247.34	$324.00	$324.00