Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.44 / $167.44 / $167.44	Facility		$167.44	$167.44	$167.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $201.13 / $203.10	Professional		$167.44	$201.13	$203.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $135.31 / $274.82	Facility		$114.80	$135.31	$274.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $120.28 / $120.28	Professional		$120.28	$120.28	$120.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $257.04 / $364.95	Facility		$97.11	$257.04	$364.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $167.69 / $382.92	Professional		$102.01	$167.69	$382.92
United Facility/Professional Facility Modifier Low / Median / High Price $263.83 / $263.83 / $263.83	Facility		$263.83	$263.83	$263.83
United Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $188.46 / $399.54	Professional		$116.33	$188.46	$399.54