Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.58 / $256.58 / $256.58	Facility		$256.58	$256.58	$256.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $256.58 / $314.25	Professional		$255.51	$256.58	$314.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.13 / $706.43 / $915.74	Facility		$340.13	$706.43	$915.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.13 / $366.30 / $627.94	Professional		$340.13	$366.30	$627.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $657.88	Facility		$338.50	$338.50	$657.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $2,757.38	Professional		$247.11	$338.50	$2,757.38
United Facility/Professional Professional Modifier Low / Median / High Price $261.06 / $364.68 / $435.10	Professional		$261.06	$364.68	$435.10