Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.87 / $254.38 / $305.25	Facility		$166.87	$254.38	$305.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $166.87 / $172.98	Professional		$152.63	$166.87	$172.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.85 / $305.25 / $356.13	Facility		$223.85	$305.25	$356.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $244.20 / $274.73	Professional		$244.20	$244.20	$274.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $396.13 / $610.47	Facility		$165.35	$396.13	$610.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.76 / $304.63 / $980.87	Professional		$281.76	$304.63	$980.87
United Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $110.83 / $321.41	Professional		$91.58	$110.83	$321.41