Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.22 / $174.22 / $174.22	Facility		$174.22	$174.22	$174.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $166.74 / $174.22	Professional		$162.41	$166.74	$174.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.80 / $455.26 / $590.15	Facility		$225.80	$455.26	$590.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.20 / $243.17 / $416.86	Professional		$219.20	$243.17	$416.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $407.09	Facility		$192.91	$192.91	$407.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $1,657.41	Professional		$140.82	$192.91	$1,657.41
United Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $168.24 / $263.93	Professional		$129.09	$168.24	$263.93