Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.59 / $195.59 / $195.59	Facility		$195.59	$195.59	$195.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $187.19 / $240.96	Professional		$182.33	$187.19	$240.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.08 / $511.10 / $662.53	Facility		$246.08	$511.10	$662.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.08 / $265.01 / $454.31	Professional		$246.08	$265.01	$454.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $510.53	Facility		$236.57	$236.57	$510.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.57 / $2,139.79	Professional		$172.70	$236.57	$2,139.79
United Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $199.16 / $296.32	Professional		$158.31	$199.16	$296.32