Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.47 / $203.47 / $203.47	Facility		$203.47	$203.47	$203.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $194.74 / $254.42	Professional		$189.68	$194.74	$254.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $544.46 / $708.93	Facility		$256.00	$544.46	$708.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $275.70 / $472.62	Professional		$256.00	$275.70	$472.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $514.83	Facility		$246.11	$246.11	$514.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.11 / $2,157.82	Professional		$179.66	$246.11	$2,157.82
United Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $196.49 / $308.26	Professional		$164.69	$196.49	$308.26