Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.12 / $259.33 / $311.19	Facility		$170.12	$259.33	$311.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $170.12 / $176.34	Professional		$155.60	$170.12	$176.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $311.19 / $363.06	Facility		$228.21	$311.19	$363.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.95 / $248.95 / $280.07	Professional		$248.95	$248.95	$280.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $448.71 / $622.33	Facility		$168.56	$448.71	$622.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.73 / $388.92 / $999.96	Professional		$359.73	$388.92	$999.96
United Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $124.48 / $382.09	Professional		$93.36	$124.48	$382.09