Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.21 / $255.21 / $255.21	Facility		$255.21	$255.21	$255.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $244.25 / $255.21	Professional		$237.91	$244.25	$255.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.16 / $688.95 / $889.20	Facility		$345.16	$688.95	$889.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.10 / $371.71 / $637.21	Professional		$321.10	$371.71	$637.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $643.67	Facility		$387.54	$387.54	$643.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $387.54 / $2,697.85	Professional		$282.89	$387.54	$2,697.85
United Facility/Professional Professional Modifier Low / Median / High Price $206.56 / $273.61 / $412.60	Professional		$206.56	$273.61	$412.60