Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $165.36 / $165.36	Facility		$165.36	$165.36	$165.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $165.36 / $201.66	Professional		$118.89	$165.36	$201.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $333.98 / $458.99	Facility		$170.48	$333.98	$458.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $183.60 / $314.74	Professional		$170.48	$183.60	$314.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $305.58	Facility		$278.10	$278.10	$305.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $278.10 / $1,174.78	Professional		$203.01	$278.10	$1,174.78
United Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $206.76 / $339.12	Professional		$160.69	$206.76	$339.12