Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $273.60 / $310.05	Professional		$241.02	$273.60	$310.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $35.22 / $354.63	Facility		$29.57	$35.22	$354.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $37.94 / $381.91	Professional		$29.57	$37.94	$381.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $545.65	Facility		$332.93	$332.93	$545.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $332.93 / $357.22	Professional		$35.75	$332.93	$357.22
United Facility/Professional Professional Modifier Low / Median / High Price $195.59 / $240.94 / $449.94	Professional		$195.59	$240.94	$449.94