Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.83 / $203.83 / $203.83	Facility		$203.83	$203.83	$203.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.87 / $203.83 / $219.24	Professional		$193.87	$203.83	$219.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $537.04 / $727.46	Facility		$270.20	$537.04	$727.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $290.98 / $477.37	Professional		$270.20	$290.98	$477.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $467.69	Facility		$228.28	$228.28	$467.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $1,960.25	Professional		$166.64	$228.28	$1,960.25
United Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $249.41 / $347.20	Professional		$205.70	$249.41	$347.20