Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.81 / $272.58 / $327.08	Facility		$178.81	$272.58	$327.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $185.35 / $274.29	Professional		$163.55	$185.35	$274.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.87 / $327.08 / $381.61	Facility		$239.87	$327.08	$381.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $261.67 / $294.38	Professional		$261.67	$261.67	$294.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.18 / $261.67 / $654.13	Facility		$177.18	$261.67	$654.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $400.26 / $1,051.05	Professional		$121.42	$400.26	$1,051.05
United Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $130.84 / $348.90	Professional		$98.13	$130.84	$348.90