Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $309.03	Facility		$134.90	$151.36	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $218.78	Professional		$120.23	$147.91	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $218.78 / $288.40	Facility		$194.98	$218.78	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $407.38	Professional		$363.08	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $851.14 / $851.14	Professional		$239.88	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $275.42	Professional		$102.33	$147.91	$275.42