Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $157.02 / $157.02	Facility		$157.02	$157.02	$157.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $150.27 / $173.91	Professional		$146.37	$150.27	$173.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $410.31 / $531.88	Facility		$221.49	$410.31	$531.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.55 / $238.53 / $408.90	Professional		$197.55	$238.53	$408.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $399.31	Facility		$189.91	$189.91	$399.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $1,633.64	Professional		$138.63	$189.91	$1,633.64
United Facility/Professional Professional Modifier Low / Median / High Price $142.15 / $162.46 / $253.84	Professional		$142.15	$162.46	$253.84