Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.75 / $149.75 / $149.75	Facility		$149.75	$149.75	$149.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $143.32 / $352.00	Professional		$139.60	$143.32	$352.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.10 / $391.31 / $507.26	Facility		$194.10	$391.31	$507.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $209.03 / $358.33	Professional		$188.41	$209.03	$358.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $349.93	Facility		$176.58	$176.58	$349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $220.60 / $264.80	Professional		$128.90	$220.60	$264.80
United Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $144.61 / $226.87	Professional		$110.93	$144.61	$226.87