Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.28 / $240.28 / $240.28	Facility		$240.28	$240.28	$240.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $229.97 / $275.33	Professional		$223.99	$229.97	$275.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.32 / $627.89 / $813.93	Facility		$302.32	$627.89	$813.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.32 / $325.57 / $558.12	Professional		$302.32	$325.57	$558.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $622.07	Facility		$290.63	$290.63	$622.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $2,607.28	Professional		$212.16	$290.63	$2,607.28
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $244.67 / $386.73	Professional		$194.48	$244.67	$386.73