Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.60 / $213.60 / $213.60	Facility		$213.60	$213.60	$213.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $204.43 / $259.95	Professional		$199.12	$204.43	$259.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.75 / $558.16 / $729.72	Facility		$268.75	$558.16	$729.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $289.42 / $496.15	Professional		$268.75	$289.42	$496.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $545.26	Facility		$273.20	$273.20	$545.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $273.20 / $2,285.35	Professional		$199.44	$273.20	$2,285.35
United Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $206.27 / $343.79	Professional		$172.89	$206.27	$343.79