Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $207.01 / $248.42	Facility		$135.80	$207.01	$248.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $134.13 / $135.80	Professional		$124.21	$134.13	$135.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.17 / $223.57 / $248.42	Facility		$182.17	$223.57	$248.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $198.73 / $223.57	Professional		$198.73	$198.73	$223.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.56 / $198.73 / $496.80	Facility		$134.56	$198.73	$496.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $237.99 / $866.68	Professional		$78.59	$237.99	$866.68
United Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $82.84 / $264.98	Professional		$74.52	$82.84	$264.98