Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.81 / $178.81 / $178.81	Facility		$178.81	$178.81	$178.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $171.13 / $178.81	Professional		$166.69	$171.13	$178.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.73 / $467.26 / $605.71	Facility		$231.73	$467.26	$605.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.98 / $249.56 / $427.81	Professional		$224.98	$249.56	$427.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $417.78	Facility		$197.94	$197.94	$417.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $1,700.69	Professional		$144.50	$197.94	$1,700.69
United Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $172.67 / $287.77	Professional		$132.46	$172.67	$287.77