Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $295.12	Professional		$138.04	$169.82	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $457.09	Facility		$223.87	$223.87	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $407.38	Professional		$239.88	$239.88	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $537.03 / $537.03	Facility		$190.55	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $1,621.81	Professional		$138.04	$138.04	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $354.81	Facility		$125.89	$151.36	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $251.19	Professional		$138.04	$169.82	$251.19