Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $196.02 / $196.02	Facility		$196.02	$196.02	$196.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $196.02 / $277.08	Professional		$167.46	$196.02	$277.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.11 / $395.93 / $544.15	Facility		$202.11	$395.93	$544.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.11 / $217.66 / $373.13	Professional		$202.11	$217.66	$373.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $362.26	Facility		$301.51	$301.51	$362.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $1,392.69	Professional		$220.10	$301.51	$1,392.69
United Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $245.92 / $491.84	Professional		$190.50	$245.92	$491.84