Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.74 / $109.74 / $109.74	Facility		$109.74	$109.74	$109.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $109.74 / $140.71	Professional		$109.74	$109.74	$140.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.03 / $302.12 / $391.63	Facility		$179.03	$302.12	$391.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $198.68 / $340.60	Professional		$145.46	$198.68	$340.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $332.62	Facility		$169.96	$169.96	$332.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $1,232.81	Professional		$124.07	$124.07	$1,232.81
United Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $155.96 / $194.39	Professional		$111.65	$155.96	$194.39