Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.21 / $199.21 / $199.21	Facility		$199.21	$199.21	$199.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $199.21 / $216.55	Professional		$199.21	$199.21	$216.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.01 / $548.45 / $715.13	Facility		$325.01	$548.45	$715.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.07 / $350.11 / $600.19	Professional		$264.07	$350.11	$600.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $586.13	Facility		$280.67	$280.67	$586.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $2,220.04	Professional		$204.89	$280.67	$2,220.04
United Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $283.13 / $317.97	Professional		$202.68	$283.13	$317.97