Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $302.00	Facility		$165.96	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $234.42	Professional		$141.25	$162.18	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $602.56	Facility		$169.82	$323.59	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $977.24 / $977.24	Professional		$245.47	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $251.19	Professional		$79.43	$91.20	$251.19