Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $164.84 / $179.53	Facility		$163.21	$164.84	$179.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $172.47	Professional		$164.25	$164.25	$172.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $180.68 / $246.38	Facility		$164.25	$180.68	$246.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $164.25 / $380.83	Professional		$106.76	$164.25	$380.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $161.94 / $164.25	Facility		$154.96	$161.94	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $170.45	Professional		$164.25	$164.25	$170.45
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $180.68 / $190.71	Professional		$164.25	$180.68	$190.71