Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $426.58 / $426.58	Facility		$234.42	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $323.59	Professional		$190.55	$229.09	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $457.09 / $851.14	Facility		$239.88	$457.09	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $1,380.38 / $1,380.38	Professional		$48.98	$1,380.38	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $169.82	Professional		$58.88	$100.00	$169.82