Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $257.04	Facility		$141.25	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $204.17	Professional		$114.82	$138.04	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $524.81	Facility		$144.54	$275.42	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $831.76 / $831.76	Professional		$199.53	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $173.78	Professional		$72.44	$77.62	$173.78