Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $345.60 / $345.60	Facility		$196.00	$345.60	$345.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $345.60	Professional		$30.00	$50.00	$345.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $71.02 / $170.44	Facility		$18.26	$71.02	$170.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $122.53 / $316.20	Professional		$34.60	$122.53	$316.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $180.00 / $258.00	Professional		$126.00	$180.00	$258.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $56.00 / $75.00	Professional		$45.00	$56.00	$75.00