Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $380.19 / $380.19	Facility		$208.93	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $295.12	Professional		$177.83	$204.17	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $630.96 / $758.58	Facility		$213.80	$630.96	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,230.27 / $1,230.27	Professional		$338.84	$1,230.27	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $257.04	Professional		$89.13	$109.65	$257.04