Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $256.83 / $256.83	Facility		$256.83	$256.83	$256.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.27 / $256.83 / $276.24	Professional		$244.27	$256.83	$276.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.44 / $636.59 / $916.58	Facility		$340.44	$636.59	$916.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.08 / $366.63 / $499.00	Professional		$291.08	$366.63	$499.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $547.38	Facility		$274.52	$274.52	$547.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.52 / $2,294.21	Professional		$200.41	$274.52	$2,294.21
United Facility/Professional Professional Modifier Low / Median / High Price $255.14 / $311.36 / $435.50	Professional		$255.14	$311.36	$435.50