Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $218.51 / $262.22	Facility		$143.34	$218.51	$262.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $143.34 / $148.59	Professional		$131.11	$143.34	$148.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $262.22 / $305.92	Facility		$192.29	$262.22	$305.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $209.77 / $235.99	Professional		$209.77	$209.77	$235.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $209.77 / $524.40	Facility		$142.04	$209.77	$524.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $239.56 / $842.58	Professional		$68.45	$239.56	$842.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $87.41 / $279.70	Professional		$73.42	$87.41	$279.70