Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.76 / $274.76 / $379.42	Facility		$274.76	$274.76	$379.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $274.76 / $274.76	Professional		$130.84	$274.76	$274.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $228.96 / $228.96	Facility		$228.96	$228.96	$228.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $141.74 / $141.74	Professional		$141.74	$141.74	$141.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $164.42 / $391.20	Facility		$141.74	$164.42	$391.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.69 / $250.69 / $313.36	Professional		$250.69	$250.69	$313.36
United Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $272.58	Facility		$141.74	$141.74	$272.58
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $296.56	Professional		$91.59	$130.84	$296.56