Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.74 / $192.74 / $192.74	Facility		$192.74	$192.74	$192.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $184.46 / $192.74	Professional		$179.67	$184.46	$192.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $540.64 / $671.51	Facility		$298.45	$540.64	$671.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $328.77 / $563.60	Professional		$242.49	$328.77	$563.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $550.39	Facility		$291.02	$291.02	$550.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $2,071.73	Professional		$212.45	$291.02	$2,071.73
United Facility/Professional Facility Modifier Low / Median / High Price $184.46 / $184.46 / $184.46	Facility		$184.46	$184.46	$184.46
United Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $199.42 / $310.19	Professional		$155.99	$199.42	$310.19