Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.80 / $163.80 / $163.80	Facility		$163.80	$163.80	$163.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $156.76 / $172.51	Professional		$152.69	$156.76	$172.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.02 / $428.02 / $554.84	Facility		$222.02	$428.02	$554.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $239.10 / $409.88	Professional		$206.08	$239.10	$409.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $422.06	Facility		$205.09	$205.09	$422.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $1,768.99	Professional		$149.72	$205.09	$1,768.99
United Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $158.16 / $248.15	Professional		$132.57	$158.16	$248.15