Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.59 / $155.59 / $155.59	Facility		$155.59	$155.59	$155.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $148.91 / $195.17	Professional		$145.05	$148.91	$195.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.76 / $406.58 / $527.04	Facility		$195.76	$406.58	$527.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $210.82 / $361.40	Professional		$195.76	$210.82	$361.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $388.44	Facility		$188.19	$188.19	$388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $1,628.05	Professional		$137.38	$188.19	$1,628.05
United Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $150.25 / $250.42	Professional		$125.93	$150.25	$250.42