Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $242.03 / $257.18	Professional		$174.90	$242.03	$257.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $31.33 / $235.26	Facility		$25.45	$31.33	$235.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $27.41 / $253.36	Professional		$25.45	$27.41	$253.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $370.20	Facility		$240.50	$240.50	$370.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $240.50 / $1,548.18	Professional		$26.88	$240.50	$1,548.18
United Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $166.13 / $356.07	Professional		$120.66	$166.13	$356.07