Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.18 / $869.18 / $869.18	Facility		$869.18	$869.18	$869.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $680.88 / $896.80	Professional		$516.40	$680.88	$896.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $170.75 / $445.50	Facility		$95.13	$170.75	$445.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $68.30 / $226.22	Professional		$63.42	$68.30	$226.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $71.76 / $71.76	Professional		$71.76	$71.76	$71.76
United Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $123.05 / $250.51	Professional		$62.77	$123.05	$250.51