Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Facility		$164.42	$164.42	$164.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $207.14	Professional		$164.42	$164.42	$207.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $246.63 / $246.63	Facility		$164.42	$246.63	$246.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.40 / $219.62 / $219.62	Facility		$190.40	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $499.45	Professional		$219.62	$219.62	$499.45
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $235.16 / $235.16	Professional		$164.42	$235.16	$235.16