Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.09 / $214.09 / $214.09	Facility		$214.09	$214.09	$214.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $214.09 / $230.27	Professional		$212.20	$214.09	$230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.31 / $589.41 / $764.05	Facility		$292.31	$589.41	$764.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.79 / $314.80 / $539.65	Professional		$283.79	$314.80	$539.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $527.00	Facility		$318.35	$318.35	$527.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $318.35 / $2,145.33	Professional		$232.40	$318.35	$2,145.33
United Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $262.48 / $364.65	Professional		$217.82	$262.48	$364.65