Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.72 / $199.72 / $199.72	Facility		$199.72	$199.72	$199.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $191.14 / $223.78	Professional		$170.99	$191.14	$223.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.28 / $483.24 / $676.53	Facility		$251.28	$483.24	$676.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.84 / $270.61 / $414.58	Professional		$241.84	$270.61	$414.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $454.25	Facility		$215.87	$215.87	$454.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $215.87 / $1,903.90	Professional		$157.59	$215.87	$1,903.90
United Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $192.86 / $321.44	Professional		$144.46	$192.86	$321.44