Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $234.42	Professional		$120.23	$165.96	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $380.19	Facility		$181.97	$181.97	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $338.84	Professional		$194.98	$194.98	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $524.81 / $524.81	Facility		$173.78	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,584.89	Professional		$128.82	$128.82	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $323.59	Facility		$186.21	$186.21	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $295.12	Professional		$165.96	$208.93	$295.12