Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $275.42	Facility		$151.36	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $173.78	Professional		$128.82	$151.36	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $549.54	Facility		$154.88	$295.12	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $229.09	Professional		$77.62	$83.18	$229.09