Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.57 / $216.57 / $216.57	Facility		$216.57	$216.57	$216.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.88 / $207.26 / $216.57	Professional		$201.88	$207.26	$216.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $565.89 / $733.57	Facility		$280.70	$565.89	$733.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.47 / $302.29 / $518.21	Professional		$272.47	$302.29	$518.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $506.06	Facility		$252.01	$252.01	$506.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $252.01 / $2,059.88	Professional		$183.97	$252.01	$2,059.88
United Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $212.51 / $348.55	Professional		$160.43	$212.51	$348.55