Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.14 / $195.14 / $195.14	Facility		$195.14	$195.14	$195.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $186.76 / $195.14	Professional		$140.56	$186.76	$195.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.51 / $472.14 / $660.99	Facility		$245.51	$472.14	$660.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $264.39 / $347.04	Professional		$202.44	$264.39	$347.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $403.47	Facility		$180.71	$180.71	$403.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $1,691.05	Professional		$131.91	$180.71	$1,691.05
United Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $188.44 / $315.45	Professional		$142.99	$188.44	$315.45