Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $139.24 / $145.49	Professional		$121.30	$139.24	$145.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.05 / $352.01 / $492.82	Facility		$183.05	$352.01	$492.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.71 / $197.13 / $299.51	Professional		$174.71	$197.13	$299.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $331.03	Facility		$185.61	$185.61	$331.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $185.61 / $1,387.44	Professional		$135.50	$185.61	$1,387.44
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $140.49 / $234.15	Professional		$104.36	$140.49	$234.15