Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $263.03	Facility		$144.54	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $162.18	Professional		$123.03	$141.25	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $524.81	Facility		$144.54	$281.84	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $218.78	Professional		$74.13	$79.43	$218.78