Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.97 / $184.97 / $184.97	Facility		$184.97	$184.97	$184.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $177.02 / $184.97	Professional		$172.43	$177.02	$184.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.72 / $483.34 / $626.54	Facility		$232.72	$483.34	$626.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.72 / $250.62 / $429.64	Professional		$232.72	$250.62	$429.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $460.43	Facility		$227.07	$227.07	$460.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $1,929.78	Professional		$165.76	$227.07	$1,929.78
United Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $178.62 / $280.22	Professional		$149.71	$178.62	$280.22