Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $173.25 / $173.25	Facility		$173.25	$173.25	$173.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $165.81 / $173.25	Professional		$161.51	$165.81	$173.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.56 / $452.74 / $586.88	Facility		$224.56	$452.74	$586.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $241.83 / $414.56	Professional		$217.98	$241.83	$414.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $404.84	Facility		$192.25	$192.25	$404.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $1,651.48	Professional		$140.34	$192.25	$1,651.48
United Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $173.24 / $278.83	Professional		$138.72	$173.24	$278.83