Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.19 / $195.19 / $195.19	Facility		$195.19	$195.19	$195.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $195.19 / $257.95	Professional		$195.19	$195.19	$257.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.73 / $537.37 / $709.95	Facility		$258.73	$537.37	$709.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.73 / $278.64 / $477.66	Professional		$258.73	$278.64	$477.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $513.34	Facility		$306.16	$306.16	$513.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $306.16 / $2,151.55	Professional		$223.50	$306.16	$2,151.55
United Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $277.39 / $330.98	Professional		$198.59	$277.39	$330.98