Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $371.54	Facility		$204.17	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $281.84	Professional		$165.96	$194.98	$281.84
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 $204.17 / $398.11 / $741.31	Facility		$204.17	$398.11	$741.31
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 $104.71 / $112.20 / $245.47	Professional		$104.71	$112.20	$245.47