Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.67 / $211.67 / $211.67	Facility		$211.67	$211.67	$211.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $211.67 / $236.90	Professional		$211.67	$211.67	$236.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.77 / $582.77 / $755.44	Facility		$291.77	$582.77	$755.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $314.22 / $538.66	Professional		$280.58	$314.22	$538.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $569.79	Facility		$279.26	$279.26	$569.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $279.26 / $2,388.17	Professional		$203.86	$279.26	$2,388.17
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $300.83 / $374.97	Professional		$215.36	$300.83	$374.97