Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $398.11	Facility		$263.03	$263.03	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $302.00	Professional		$257.04	$263.03	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $380.19	Facility		$245.47	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,096.48	Professional		$263.03	$263.03	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $302.00	Professional		$263.03	$275.42	$302.00