Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.39 / $222.39 / $222.39	Facility		$222.39	$222.39	$222.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $222.39 / $239.20	Professional		$204.52	$222.39	$239.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.79 / $566.91 / $793.68	Facility		$294.79	$566.91	$793.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $317.47 / $429.48	Professional		$250.53	$317.47	$429.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $458.98	Facility		$297.81	$297.81	$458.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $1,923.71	Professional		$217.40	$297.81	$1,923.71
United Facility/Professional Professional Modifier Low / Median / High Price $221.55 / $268.95 / $377.11	Professional		$221.55	$268.95	$377.11