Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $316.23	Professional		$109.65	$169.82	$316.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $398.11	Facility		$190.55	$190.55	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $354.81	Professional		$204.17	$204.17	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $436.52 / $436.52	Facility		$309.03	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $1,318.26	Professional		$229.09	$229.09	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $446.68	Facility		$208.93	$208.93	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $371.54	Professional		$199.53	$245.47	$371.54