Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.37 / $192.37 / $192.37	Facility		$192.37	$192.37	$192.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $192.37 / $206.90	Professional		$165.63	$192.37	$206.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $490.38 / $686.53	Facility		$255.00	$490.38	$686.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $274.61 / $432.32	Professional		$252.19	$274.61	$432.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $422.20	Facility		$302.83	$302.83	$422.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $1,672.35	Professional		$257.41	$302.83	$1,672.35
United Facility/Professional Facility Modifier Low / Median / High Price $224.66 / $224.66 / $224.66	Facility		$224.66	$224.66	$224.66
United Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $237.49 / $326.19	Professional		$191.88	$237.49	$326.19