Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $325.63 / $390.75	Facility		$213.61	$325.63	$390.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $213.61 / $221.43	Professional		$195.38	$213.61	$221.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.55 / $390.75 / $455.88	Facility		$286.55	$390.75	$455.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $312.60 / $351.68	Professional		$312.60	$312.60	$351.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $488.03 / $781.46	Facility		$211.66	$488.03	$781.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $374.28 / $1,255.60	Professional		$299.43	$374.28	$1,255.60
United Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $109.41 / $109.41	Facility		$109.41	$109.41	$109.41
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $130.25 / $351.68	Professional		$109.41	$130.25	$351.68