Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Facility		$130.68	$130.68	$130.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $130.68 / $147.63	Professional		$130.68	$130.68	$147.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.31 / $373.80 / $479.70	Facility		$191.31	$373.80	$479.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $206.02 / $353.18	Professional		$173.23	$206.02	$353.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $344.90	Facility		$166.52	$166.52	$344.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $1,430.58	Professional		$121.56	$166.52	$1,430.58
United Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $185.73 / $221.59	Professional		$132.94	$185.73	$221.59