Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.45 / $269.45 / $269.45	Facility		$269.45	$269.45	$269.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $269.45 / $289.82	Professional		$263.83	$269.45	$289.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.19 / $686.90 / $961.66	Facility		$357.19	$686.90	$961.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.40 / $384.66 / $578.40	Professional		$337.40	$384.66	$578.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $647.05	Facility		$365.10	$365.10	$647.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $2,712.02	Professional		$266.52	$365.10	$2,712.02
United Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $362.23 / $456.92	Professional		$271.39	$362.23	$456.92