Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.62 / $252.62 / $252.62	Facility		$252.62	$252.62	$252.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.66 / $252.62 / $271.70	Professional		$237.66	$252.62	$271.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.86 / $663.34 / $901.55	Facility		$334.86	$663.34	$901.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.86 / $360.62 / $589.63	Professional		$334.86	$360.62	$589.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $615.85	Facility		$305.54	$305.54	$615.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $2,581.21	Professional		$223.04	$305.54	$2,581.21
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $340.78 / $428.35	Professional		$257.01	$340.78	$428.35