Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $257.04	Facility		$141.25	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $208.93	Professional		$120.23	$141.25	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $416.87 / $524.81	Facility		$144.54	$416.87	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,148.15 / $1,148.15	Professional		$309.03	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $354.81	Professional		$95.50	$151.36	$354.81