Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $186.23 / $186.23	Facility		$186.23	$186.23	$186.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $186.23 / $218.75	Professional		$186.23	$186.23	$218.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.86 / $485.01 / $664.62	Facility		$246.86	$485.01	$664.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.86 / $265.85 / $431.12	Professional		$246.86	$265.85	$431.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $429.41	Facility		$271.68	$271.68	$429.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $1,799.79	Professional		$198.33	$271.68	$1,799.79
United Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $235.24 / $329.89	Professional		$189.47	$235.24	$329.89