Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $300.00 / $300.00	Facility		$255.00	$300.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $96.74	Facility		$55.28	$55.28	$96.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $381.00	Professional		$255.00	$255.00	$381.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $250.00 / $300.00	Professional		$162.50	$250.00	$300.00