Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $170.52 / $170.52	Facility		$170.52	$170.52	$170.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $250.76 / $386.17	Professional		$170.52	$250.76	$386.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.73 / $518.20 / $608.58	Facility		$421.73	$518.20	$608.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $782.23 / $782.23 / $782.23	Professional		$782.23	$782.23	$782.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.45 / $475.45 / $475.45	Facility		$475.45	$475.45	$475.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $1,955.57	Professional		$170.00	$170.00	$1,955.57
United Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $303.62 / $568.01	Professional		$202.41	$303.62	$568.01