Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $295.12	Professional		$147.91	$208.93	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $117.49	Facility		$42.66	$56.23	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $489.78	Facility		$151.36	$151.36	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $501.19	Professional		$74.13	$123.03	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $309.03	Professional		$87.10	$173.78	$309.03