Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.72 / $785.72 / $785.72	Facility		$785.72	$785.72	$785.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.45 / $785.72 / $955.30	Professional		$693.45	$785.72	$955.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.06 / $150.06 / $176.54	Facility		$150.06	$150.06	$176.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $176.54 / $176.54	Professional		$176.54	$176.54	$176.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $109.54 / $121.19	Professional		$93.11	$109.54	$121.19
United Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $74.86 / $949.84	Professional		$49.91	$74.86	$949.84