Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $219.25 / $263.10	Facility		$143.83	$219.25	$263.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $143.83 / $149.09	Professional		$131.55	$143.83	$149.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.94 / $263.10 / $306.95	Facility		$192.94	$263.10	$306.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.48 / $210.48 / $236.79	Professional		$210.48	$210.48	$236.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $210.48 / $526.16	Facility		$142.51	$210.48	$526.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $247.94 / $845.43	Professional		$70.84	$247.94	$845.43
United Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $73.67 / $73.67	Facility		$73.67	$73.67	$73.67
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $87.70 / $254.33	Professional		$73.67	$87.70	$254.33