Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.14 / $264.14 / $264.14	Facility		$264.14	$264.14	$264.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $264.14 / $298.13	Professional		$264.14	$264.14	$298.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.13 / $729.03 / $969.59	Facility		$350.13	$729.03	$969.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.13 / $377.06 / $646.39	Professional		$350.13	$377.06	$646.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $689.98	Facility		$393.88	$393.88	$689.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $2,891.90	Professional		$287.52	$287.52	$2,891.90
United Facility/Professional Professional Modifier Low / Median / High Price $268.73 / $323.83 / $449.90	Professional		$268.73	$323.83	$449.90