Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.28 / $198.28 / $198.28	Facility		$198.28	$198.28	$198.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.28 / $198.28 / $262.04	Professional		$198.28	$198.28	$262.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.83 / $593.08 / $727.87	Facility		$262.83	$593.08	$727.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $283.06 / $485.24	Professional		$262.83	$283.06	$485.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $481.59	Facility		$252.68	$252.68	$481.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $252.68 / $2,018.47	Professional		$194.10	$252.68	$2,018.47
United Facility/Professional Professional Modifier Low / Median / High Price $201.73 / $281.81 / $336.22	Professional		$201.73	$281.81	$336.22