Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.77 / $212.77 / $212.77	Facility		$212.77	$212.77	$212.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.89 / $212.77 / $228.84	Professional		$210.89	$212.77	$228.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $290.55 / $585.77 / $759.33	Facility		$290.55	$585.77	$759.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.04 / $312.89 / $536.40	Professional		$282.04	$312.89	$536.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $523.82	Facility		$286.80	$286.80	$523.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $2,132.13	Professional		$209.36	$209.36	$2,132.13
United Facility/Professional Professional Modifier Low / Median / High Price $216.47 / $260.87 / $362.41	Professional		$216.47	$260.87	$362.41