Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.74 / $258.74 / $258.74	Facility		$258.74	$258.74	$258.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.74 / $258.74 / $341.94	Professional		$258.74	$258.74	$341.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.97 / $712.33 / $932.34	Facility		$342.97	$712.33	$932.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.97 / $369.36 / $633.17	Professional		$342.97	$369.36	$633.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $681.89	Facility		$402.09	$402.09	$681.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $402.09 / $2,858.02	Professional		$293.52	$402.09	$2,858.02
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.24 / $352.56 / $458.33	Professional		$263.24	$352.56	$458.33