Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $380.19	Professional		$190.55	$218.78	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $602.56	Facility		$295.12	$295.12	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $537.03	Professional		$316.23	$316.23	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $707.95 / $707.95	Facility		$316.23	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $2,137.96	Professional		$234.42	$234.42	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $457.09	Facility		$263.03	$263.03	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $363.08	Professional		$204.17	$275.42	$363.08