Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $255.05 / $255.05	Facility		$255.05	$255.05	$255.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $282.31 / $308.39	Professional		$255.05	$282.31	$308.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.24 / $355.95 / $498.33	Facility		$313.24	$355.95	$498.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70