Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $380.19	Professional		$181.97	$208.93	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $588.84	Facility		$288.40	$288.40	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $524.81	Professional		$309.03	$309.03	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $691.83 / $691.83	Facility		$371.54	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $2,089.30	Professional		$316.23	$316.23	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $275.42 / $323.59	Facility		$213.80	$275.42	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $346.74	Professional		$204.17	$269.15	$346.74