Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $239.88	Facility		$218.78	$218.78	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $478.63	Professional		$144.54	$194.98	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $275.42 / $363.08	Facility		$218.78	$275.42	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $501.19	Professional		$218.78	$239.88	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $371.54 / $371.54	Facility		$95.50	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $1,071.52	Professional		$190.55	$295.12	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $309.03	Professional		$144.54	$204.17	$309.03