Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $245.47	Professional		$165.96	$204.17	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $251.19	Facility		$102.33	$123.03	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $977.24	Professional		$165.96	$363.08	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $281.84	Professional		$125.89	$177.83	$281.84