Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $172.18 / $415.99	Facility		$168.73	$172.18	$415.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $170.48 / $172.18	Professional		$168.73	$170.48	$172.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $255.72 / $255.72	Facility		$170.48	$255.72	$255.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $490.62	Facility		$160.83	$170.48	$490.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $944.74	Professional		$170.48	$170.48	$944.74
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $570.47	Professional		$170.48	$170.48	$570.47