Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $206.89 / $248.27	Facility		$135.72	$206.89	$248.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $135.72 / $140.68	Professional		$124.13	$135.72	$140.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.06 / $248.27 / $289.64	Facility		$182.06	$248.27	$289.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.61 / $198.61 / $223.44	Professional		$198.61	$198.61	$223.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $296.06 / $496.48	Facility		$134.47	$296.06	$496.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $228.23 / $797.76	Professional		$211.10	$228.23	$797.76
United Facility/Professional Facility Modifier Low / Median / High Price $99.31 / $99.31 / $99.31	Facility		$99.31	$99.31	$99.31
United Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $82.96 / $240.58	Professional		$69.69	$82.96	$240.58