Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $235.34 / $235.34	Facility		$235.34	$235.34	$235.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $225.23 / $263.89	Professional		$219.38	$225.23	$263.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.21 / $614.97 / $797.18	Facility		$337.21	$614.97	$797.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $363.15 / $622.54	Professional		$296.08	$363.15	$622.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $607.94	Facility		$297.02	$297.02	$607.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $2,537.78	Professional		$216.82	$297.02	$2,537.78
United Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $245.14 / $378.77	Professional		$190.48	$245.14	$378.77