Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $171.87 / $171.87	Facility		$171.87	$171.87	$171.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $164.49 / $171.87	Professional		$160.22	$164.49	$171.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.73 / $449.12 / $582.19	Facility		$222.73	$449.12	$582.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.24 / $239.86 / $411.19	Professional		$216.24	$239.86	$411.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $964.00	Facility		$227.96	$227.96	$964.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $1,640.68	Professional		$166.41	$227.96	$1,640.68
United Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $168.64 / $288.95	Professional		$127.31	$168.64	$288.95