Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $794.33	Facility		$302.00	$602.56	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $107.15	Professional		$81.28	$85.11	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $147.91 / $165.96	Facility		$114.82	$147.91	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $162.18	Facility		$87.10	$87.10	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $457.09	Professional		$87.10	$87.10	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33