Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $371.65 / $371.65	Facility		$315.89	$371.65	$371.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $339.31	Professional		$297.32	$308.47	$339.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.30 / $112.86 / $197.51	Facility		$109.30	$112.86	$197.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $109.30 / $112.86	Professional		$109.30	$109.30	$112.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $146.15 / $321.72	Facility		$146.15	$146.15	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $340.68 / $371.65	Professional		$309.70	$340.68	$371.65