Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.65 / $148.65 / $148.65	Facility		$148.65	$148.65	$148.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $142.27 / $165.04	Professional		$138.57	$142.27	$165.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.69 / $422.00 / $517.91	Facility		$200.69	$422.00	$517.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $216.13 / $370.51	Professional		$187.02	$216.13	$370.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $376.73	Facility		$225.30	$225.30	$376.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $225.30 / $1,578.98	Professional		$164.47	$225.30	$1,578.98
United Facility/Professional Facility Modifier Low / Median / High Price $326.08 / $326.08 / $326.08	Facility		$326.08	$326.08	$326.08
United Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $154.84 / $239.24	Professional		$120.31	$154.84	$239.24