Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.99 / $259.14 / $310.97	Facility		$169.99	$259.14	$310.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $169.99 / $176.21	Professional		$155.47	$169.99	$176.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.04 / $310.97 / $362.79	Facility		$228.04	$310.97	$362.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $248.77 / $279.87	Professional		$248.77	$248.77	$279.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.44 / $248.77 / $621.87	Facility		$168.44	$248.77	$621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $292.80 / $999.23	Professional		$83.67	$292.80	$999.23
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $103.66 / $300.60	Professional		$87.07	$103.66	$300.60