Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $129.19 / $129.19	Facility		$129.19	$129.19	$129.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $129.19 / $157.97	Professional		$128.04	$129.19	$157.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.27 / $329.36 / $461.11	Facility		$171.27	$329.36	$461.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $184.44 / $292.51	Professional		$170.63	$184.44	$292.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $316.45	Facility		$184.91	$184.91	$316.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $184.91 / $1,326.37	Professional		$134.97	$184.91	$1,326.37
United Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $169.88 / $219.08	Professional		$123.24	$169.88	$219.08