Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $467.74	Professional		$218.78	$281.84	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Facility		$338.84	$338.84	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $630.96	Professional		$363.08	$363.08	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $954.99 / $954.99	Facility		$380.19	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $2,884.03	Professional		$275.42	$275.42	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $602.56	Facility		$218.78	$257.04	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $478.63	Professional		$234.42	$309.03	$478.63