Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $363.08	Professional		$177.83	$229.09	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $562.34	Facility		$269.15	$269.15	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $501.19	Professional		$295.12	$295.12	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $776.25 / $776.25	Facility		$363.08	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $2,344.23	Professional		$263.03	$263.03	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $281.84 / $478.63	Facility		$275.42	$281.84	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $346.74	Professional		$204.17	$263.03	$346.74