Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.85 / $267.85 / $267.85	Facility		$267.85	$267.85	$267.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $267.85 / $288.08	Professional		$265.48	$267.85	$288.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $365.77 / $737.41 / $955.90	Facility		$365.77	$737.41	$955.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.05 / $393.91 / $675.28	Professional		$355.05	$393.91	$675.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $659.45	Facility		$362.03	$362.03	$659.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $2,694.04	Professional		$264.27	$362.03	$2,694.04
United Facility/Professional Professional Modifier Low / Median / High Price $272.51 / $348.42 / $454.18	Professional		$272.51	$348.42	$454.18