Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $181.76 / $181.76	Facility		$181.76	$181.76	$181.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $181.76 / $195.49	Professional		$180.16	$181.76	$195.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.18 / $500.42 / $648.69	Facility		$268.18	$500.42	$648.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $288.81 / $495.10	Professional		$240.94	$288.81	$495.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $487.27	Facility		$239.78	$239.78	$487.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $2,042.28	Professional		$175.04	$239.78	$2,042.28
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $244.37 / $290.11	Professional		$184.93	$244.37	$290.11