Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $146.68 / $146.68	Facility		$146.68	$146.68	$146.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $162.97 / $179.69	Professional		$78.04	$162.97	$179.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.49 / $398.85 / $465.33	Facility		$292.49	$398.85	$465.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $319.08 / $616.50	Professional		$172.84	$319.08	$616.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.60 / $311.60 / $311.60	Facility		$311.60	$311.60	$311.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $1,286.46	Professional		$135.78	$135.78	$1,286.46
United Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $133.21 / $265.89	Professional		$129.88	$133.21	$265.89