Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.48 / $1,097.48 / $1,097.48	Facility		$1,097.48	$1,097.48	$1,097.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.18 / $180.18 / $193.79	Professional		$180.18	$180.18	$193.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.84 / $490.06 / $643.02	Facility		$238.84	$490.06	$643.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $257.20 / $435.61	Professional		$238.84	$257.20	$435.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $425.40	Facility		$274.27	$274.27	$425.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $1,612.72	Professional		$233.13	$274.27	$1,612.72
United Facility/Professional Professional Modifier Low / Median / High Price $179.49 / $220.46 / $305.52	Professional		$179.49	$220.46	$305.52