Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.26 / $165.26 / $165.26	Facility		$165.26	$165.26	$165.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $165.26 / $184.15	Professional		$165.26	$165.26	$184.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.26 / $454.98 / $589.79	Facility		$219.26	$454.98	$589.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $236.13 / $404.80	Professional		$219.06	$236.13	$404.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $427.92	Facility		$221.07	$221.07	$427.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $1,793.52	Professional		$161.38	$221.07	$1,793.52
United Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $221.86 / $280.23	Professional		$168.14	$221.86	$280.23