Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.79 / $239.79 / $239.79	Facility		$239.79	$239.79	$239.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $229.49 / $244.71	Professional		$223.53	$229.49	$244.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.70 / $620.82 / $812.26	Facility		$301.70	$620.82	$812.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $324.91 / $551.84	Professional		$301.70	$324.91	$551.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $606.77	Facility		$352.55	$352.55	$606.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $2,543.17	Professional		$257.36	$352.55	$2,543.17
United Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $247.47 / $385.93	Professional		$192.29	$247.47	$385.93