Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $216.46 / $259.76	Facility		$142.00	$216.46	$259.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $142.00 / $147.19	Professional		$129.88	$142.00	$147.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $259.76 / $303.05	Facility		$190.49	$259.76	$303.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.80 / $207.80 / $233.78	Professional		$207.80	$207.80	$233.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $412.95 / $519.46	Facility		$140.69	$412.95	$519.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $324.83 / $1,112.74	Professional		$98.60	$324.83	$1,112.74
United Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Facility		$72.73	$72.73	$72.73
United Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $173.17 / $567.58	Professional		$95.24	$173.17	$567.58