Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.75 / $136.75 / $136.75	Facility		$136.75	$136.75	$136.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $130.88 / $145.91	Professional		$127.48	$130.88	$145.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $357.35 / $463.23	Facility		$172.06	$357.35	$463.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $185.29 / $317.64	Professional		$172.06	$185.29	$317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $350.95	Facility		$165.40	$165.40	$350.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $1,470.92	Professional		$120.74	$165.40	$1,470.92
United Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $149.05 / $288.11	Professional		$110.68	$149.05	$288.11