Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $359.38 / $673.26	Facility		$117.88	$359.38	$673.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $117.88 / $122.19	Professional		$106.38	$117.88	$122.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $179.69 / $215.63	Facility		$143.75	$179.69	$215.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $194.06 / $194.06	Professional		$143.75	$194.06	$194.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.18 / $301.18 / $301.18	Facility		$301.18	$301.18	$301.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.30 / $237.10 / $811.60	Professional		$219.30	$237.10	$811.60
United Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $138.31 / $291.18	Professional		$79.06	$138.31	$291.18