Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $302.00	Facility		$162.18	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $186.21	Professional		$128.82	$162.18	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $602.56	Facility		$165.96	$323.59	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $251.19	Professional		$83.18	$89.13	$251.19