Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $219.26 / $238.80	Facility		$217.09	$219.26	$238.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $227.94	Professional		$217.09	$217.09	$227.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $238.80 / $325.64	Facility		$217.09	$238.80	$325.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $503.34	Professional		$217.09	$217.09	$503.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $214.76 / $217.09	Facility		$204.80	$214.76	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $225.28	Professional		$217.09	$217.09	$225.28
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $238.80 / $251.88	Professional		$217.09	$238.80	$251.88