Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $253.36 / $372.59	Facility		$248.39	$253.36	$372.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $253.36 / $253.36	Professional		$238.46	$253.36	$253.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,273.75 / $2,273.75 / $44,999.55	Facility		$2,273.75	$2,273.75	$44,999.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,273.75 / $2,273.75 / $2,273.75	Professional		$2,273.75	$2,273.75	$2,273.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $248.39 / $253.36	Facility		$248.39	$248.39	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $298.07	Professional		$248.39	$248.39	$298.07