Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.67 / $1,087.26 / $1,087.26	Facility		$212.67	$1,087.26	$1,087.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $204.29 / $249.25	Professional		$177.33	$204.29	$249.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.64 / $224.56 / $244.66	Facility		$201.64	$224.56	$244.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $217.48 / $217.48	Professional		$217.48	$217.48	$217.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.32 / $323.32 / $323.32	Facility		$323.32	$323.32	$323.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $300.95 / $893.39	Professional		$185.36	$300.95	$893.39
United Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $268.11 / $395.78	Professional		$177.30	$268.11	$395.78