Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $180.22 / $180.22	Facility		$180.22	$180.22	$180.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $180.22 / $225.78	Professional		$161.83	$180.22	$225.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.92 / $309.04 / $412.82	Facility		$228.92	$309.04	$412.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $451.14 / $570.77	Professional		$232.90	$451.14	$570.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $1,280.00	Professional		$160.94	$160.94	$1,280.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $168.69 / $349.01	Professional		$144.59	$168.69	$349.01