Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $270.12 / $270.12	Facility		$270.12	$270.12	$270.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.81 / $258.52 / $283.55	Professional		$251.81	$258.52	$283.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.29 / $705.86 / $915.01	Facility		$418.29	$705.86	$915.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.86 / $470.57 / $813.88	Professional		$339.86	$470.57	$813.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $794.80	Facility		$373.35	$373.35	$794.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $373.35 / $2,917.06	Professional		$272.55	$373.35	$2,917.06
United Facility/Professional Professional Modifier Low / Median / High Price $218.63 / $289.58 / $454.17	Professional		$218.63	$289.58	$454.17