Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.72 / $233.72 / $233.72	Facility		$233.72	$233.72	$233.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $233.72 / $304.97	Professional		$169.90	$233.72	$304.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.63 / $477.26 / $655.92	Facility		$243.63	$477.26	$655.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $262.37 / $449.77	Professional		$243.63	$262.37	$449.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $436.67	Facility		$382.03	$382.03	$436.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $1,710.67	Professional		$278.88	$382.03	$1,710.67
United Facility/Professional Professional Modifier Low / Median / High Price $224.89 / $286.35 / $484.59	Professional		$224.89	$286.35	$484.59