Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.63 / $189.63 / $189.63	Facility		$189.63	$189.63	$189.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $189.63 / $203.96	Professional		$187.93	$189.63	$203.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.36 / $519.95 / $678.20	Facility		$251.36	$519.95	$678.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $270.70 / $441.64	Professional		$251.36	$270.70	$441.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $466.31	Facility		$292.48	$292.48	$466.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $1,954.46	Professional		$213.51	$292.48	$1,954.46
United Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $239.91 / $321.55	Professional		$192.93	$239.91	$321.55