Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $253.00 / $303.60	Facility		$165.97	$253.00	$303.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $165.97 / $172.04	Professional		$151.80	$165.97	$172.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.64 / $303.60 / $354.20	Facility		$222.64	$303.60	$354.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $242.88 / $273.24	Professional		$242.88	$242.88	$273.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $280.43 / $607.15	Facility		$164.45	$280.43	$607.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $277.02 / $975.57	Professional		$79.16	$277.02	$975.57
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $101.20 / $273.24	Professional		$85.01	$101.20	$273.24