Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.70 / $185.51 / $222.62	Facility		$121.70	$185.51	$222.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $120.21 / $121.70	Professional		$111.31	$120.21	$121.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.25 / $200.35 / $222.62	Facility		$163.25	$200.35	$222.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $178.09 / $200.35	Professional		$178.09	$178.09	$200.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.59 / $178.09 / $445.21	Facility		$120.59	$178.09	$445.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $213.21 / $953.00	Professional		$72.54	$213.21	$953.00
United Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $89.05 / $89.05	Facility		$89.05	$89.05	$89.05
United Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $91.02 / $300.73	Professional		$66.78	$91.02	$300.73