Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.95 / $205.95 / $205.95	Facility		$205.95	$205.95	$205.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.95 / $221.97 / $258.16	Professional		$205.95	$221.97	$258.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.16 / $242.16 / $286.66	Facility		$242.16	$242.16	$286.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.81 / $254.81 / $254.81	Professional		$254.81	$254.81	$254.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $254.81 / $474.76	Professional		$194.10	$254.81	$474.76
United Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $250.05 / $387.58	Professional		$164.37	$250.05	$387.58