Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.16 / $189.16 / $189.16	Facility		$189.16	$189.16	$189.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.91 / $181.03 / $230.32	Professional		$175.91	$181.03	$230.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.99 / $479.80 / $640.75	Facility		$237.99	$479.80	$640.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $256.30 / $426.49	Professional		$237.99	$256.30	$426.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $449.11	Facility		$243.89	$243.89	$449.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $1,882.35	Professional		$178.04	$178.04	$1,882.35
United Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $191.26 / $304.44	Professional		$148.61	$191.26	$304.44