Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $218.91 / $238.41	Facility		$216.74	$218.91	$238.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $227.75	Professional		$216.90	$216.90	$227.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $238.59 / $325.35	Facility		$216.90	$238.59	$325.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $502.89	Professional		$216.90	$216.90	$502.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $212.42 / $216.90	Facility		$204.63	$212.42	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $225.09	Professional		$216.90	$216.90	$225.09
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $238.59 / $254.90	Professional		$216.90	$238.59	$254.90