Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.94 / $224.94 / $224.94	Facility		$224.94	$224.94	$224.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.96 / $224.94 / $241.94	Professional		$222.96	$224.94	$241.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $619.29 / $802.78	Facility		$307.14	$619.29	$802.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $298.17 / $330.76 / $567.02	Professional		$298.17	$330.76	$567.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $553.74	Facility		$294.27	$294.27	$553.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $2,254.07	Professional		$214.82	$294.27	$2,254.07
United Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $276.79 / $276.79	Facility		$276.79	$276.79	$276.79
United Facility/Professional Professional Modifier Low / Median / High Price $228.86 / $306.51 / $381.43	Professional		$228.86	$306.51	$381.43