Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $149.96 / $149.96	Facility		$149.96	$149.96	$149.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $149.96 / $198.18	Professional		$149.96	$149.96	$198.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.78 / $412.86 / $535.19	Facility		$198.78	$412.86	$535.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $214.07 / $366.98	Professional		$198.78	$214.07	$366.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $386.43	Facility		$197.02	$197.02	$386.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $1,619.66	Professional		$143.82	$197.02	$1,619.66
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $213.13 / $254.28	Professional		$152.57	$213.13	$254.28