Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.17 / $176.17 / $176.17	Facility		$176.17	$176.17	$176.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $168.60 / $195.21	Professional		$149.09	$168.60	$195.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.65 / $426.25 / $596.75	Facility		$221.65	$426.25	$596.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.85 / $238.70 / $361.46	Professional		$210.85	$238.70	$361.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $401.34	Facility		$188.22	$188.22	$401.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $1,682.13	Professional		$137.40	$188.22	$1,682.13
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $170.12 / $283.52	Professional		$125.95	$170.12	$283.52