Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.34 / $209.34 / $209.34	Facility		$209.34	$209.34	$209.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $200.35 / $262.58	Professional		$195.15	$200.35	$262.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.04 / $547.04 / $709.14	Facility		$280.04	$547.04	$709.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $301.58 / $517.00	Professional		$263.39	$301.58	$517.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $526.33	Facility		$253.20	$253.20	$526.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $2,206.02	Professional		$184.84	$253.20	$2,206.02
United Facility/Professional Professional Modifier Low / Median / High Price $169.43 / $216.60 / $336.93	Professional		$169.43	$216.60	$336.93