Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.47 / $203.47 / $203.47	Facility		$203.47	$203.47	$203.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $203.47 / $213.36	Professional		$203.42	$203.47	$213.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $69.12 / $257.93	Facility		$50.68	$69.12	$257.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $65.45 / $229.27	Professional		$55.30	$65.45	$229.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.58 / $241.58 / $241.58	Facility		$241.58	$241.58	$241.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $267.48 / $997.84	Professional		$162.40	$267.48	$997.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $283.52 / $417.11	Professional		$162.02	$283.52	$417.11