Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $213.28 / $213.28	Facility		$213.28	$213.28	$213.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.37 / $213.28 / $276.89	Professional		$212.37	$213.28	$276.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.70 / $587.16 / $761.15	Facility		$282.70	$587.16	$761.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.70 / $304.45 / $521.92	Professional		$282.70	$304.45	$521.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $577.59	Facility		$271.77	$271.77	$577.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $271.77 / $2,420.85	Professional		$198.39	$271.77	$2,420.85
United Facility/Professional Professional Modifier Low / Median / High Price $203.43 / $303.11 / $361.64	Professional		$203.43	$303.11	$361.64