Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $210.94 / $253.13	Facility		$138.38	$210.94	$253.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $138.38 / $143.44	Professional		$126.56	$138.38	$143.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $253.13 / $295.31	Facility		$185.63	$253.13	$295.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $202.50 / $227.81	Professional		$202.50	$202.50	$227.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.11 / $328.48 / $506.22	Facility		$137.11	$328.48	$506.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.38 / $813.38 / $813.38	Professional		$813.38	$813.38	$813.38
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $84.38 / $244.69	Professional		$70.88	$84.38	$244.69