Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $316.23	Professional		$131.83	$165.96	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $416.87	Facility		$199.53	$199.53	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $371.54	Professional		$213.80	$213.80	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $575.44	Facility		$263.03	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $1,737.80	Professional		$194.98	$194.98	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $204.17 / $354.81	Facility		$186.21	$204.17	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $257.04	Professional		$151.36	$199.53	$257.04