Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.92 / $190.92 / $190.92	Facility		$190.92	$190.92	$190.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $182.72 / $239.49	Professional		$177.98	$182.72	$239.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.21 / $498.89 / $646.71	Facility		$240.21	$498.89	$646.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.21 / $258.69 / $443.46	Professional		$240.21	$258.69	$443.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $476.95	Facility		$230.92	$230.92	$476.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $1,999.05	Professional		$168.57	$230.92	$1,999.05
United Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $204.69 / $321.01	Professional		$154.52	$204.69	$321.01