Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.86 / $231.50 / $277.80	Facility		$151.86	$231.50	$277.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $151.86 / $157.41	Professional		$138.90	$151.86	$157.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $277.80 / $324.10	Facility		$203.72	$277.80	$324.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $222.24 / $250.02	Professional		$222.24	$222.24	$250.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $222.24 / $555.54	Facility		$150.47	$222.24	$555.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $253.36 / $892.66	Professional		$72.40	$253.36	$892.66
United Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $77.78 / $77.78	Facility		$77.78	$77.78	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $92.60 / $268.54	Professional		$77.78	$92.60	$268.54