Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.13 / $166.13 / $166.13	Facility		$166.13	$166.13	$166.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $159.00 / $166.13	Professional		$147.41	$159.00	$166.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.03 / $416.77 / $562.77	Facility		$209.03	$416.77	$562.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.03 / $225.11 / $370.46	Professional		$209.03	$225.11	$370.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $390.18	Facility		$196.21	$196.21	$390.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $1,635.38	Professional		$143.22	$196.21	$1,635.38
United Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $169.16 / $268.58	Professional		$149.97	$169.16	$268.58