Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.23 / $115.23 / $115.23	Facility		$115.23	$115.23	$115.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $126.11 / $169.46	Professional		$115.23	$126.11	$169.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.67 / $222.21 / $289.85	Facility		$180.67	$222.21	$289.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.74 / $482.61 / $482.61	Facility		$358.74	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $482.61 / $1,080.45	Professional		$410.22	$482.61	$1,080.45
United Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $290.52 / $408.45	Professional		$128.60	$290.52	$408.45