Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.02 / $133.02 / $133.02	Facility		$133.02	$133.02	$133.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $145.58 / $195.63	Professional		$133.02	$145.58	$195.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.13 / $367.37 / $367.37	Facility		$301.13	$367.37	$367.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.67 / $395.63 / $395.63	Professional		$267.67	$395.63	$395.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $429.00	Facility		$409.07	$409.07	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $1,247.27	Professional		$347.71	$409.07	$1,247.27
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $348.95 / $465.26	Professional		$148.46	$348.95	$465.26