Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.85 / $194.85 / $194.85	Facility		$194.85	$194.85	$194.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $286.52 / $441.26	Professional		$194.85	$286.52	$441.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.68 / $592.29 / $695.40	Facility		$507.68	$592.29	$695.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $543.28 / $543.28 / $543.28	Facility		$543.28	$543.28	$543.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $2,234.55	Professional		$208.25	$208.25	$2,234.55
United Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $366.20 / $741.76	Professional		$250.56	$366.20	$741.76