Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $141.56 / $147.91	Professional		$112.45	$141.56	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.11 / $357.90 / $501.06	Facility		$186.11	$357.90	$501.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $200.42 / $277.66	Professional		$161.97	$200.42	$277.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $303.82	Facility		$166.23	$166.23	$303.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $1,273.40	Professional		$121.35	$166.23	$1,273.40
United Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $142.84 / $239.13	Professional		$96.74	$142.84	$239.13