Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $315.77	Professional		$253.60	$253.60	$315.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.67 / $698.19 / $905.07	Facility		$341.67	$698.19	$905.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.17 / $367.95 / $630.77	Professional		$336.17	$367.95	$630.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $677.28	Facility		$364.44	$364.44	$677.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $2,838.69	Professional		$266.04	$364.44	$2,838.69
United Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $340.95 / $430.03	Professional		$258.02	$340.95	$430.03