Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.25 / $198.25 / $198.25	Facility		$198.25	$198.25	$198.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $198.25 / $213.22	Professional		$196.50	$198.25	$213.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $545.80 / $707.53	Facility		$270.70	$545.80	$707.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.80 / $291.54 / $499.78	Professional		$262.80	$291.54	$499.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $488.06	Facility		$267.94	$267.94	$488.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $1,986.61	Professional		$195.60	$267.94	$1,986.61
United Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $257.87 / $336.16	Professional		$201.70	$257.87	$336.16