Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $371.54	Facility		$158.49	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $223.87	Professional		$144.54	$173.78	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $398.11 / $575.44	Facility		$190.55	$398.11	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,202.26 / $1,202.26	Professional		$281.84	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $204.17	Professional		$87.10	$87.10	$204.17