Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $193.80 / $193.80	Facility		$193.80	$193.80	$193.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $193.80 / $237.39	Professional		$193.80	$193.80	$237.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.89 / $508.29 / $691.64	Facility		$256.89	$508.29	$691.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $276.64 / $451.81	Professional		$256.89	$276.64	$451.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $441.23	Facility		$228.90	$228.90	$441.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $228.90 / $1,822.15	Professional		$194.57	$228.90	$1,822.15
United Facility/Professional Professional Modifier Low / Median / High Price $197.17 / $237.62 / $330.11	Professional		$197.17	$237.62	$330.11