Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $175.00 / $188.22	Professional		$166.45	$175.00	$188.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.97 / $419.54 / $624.54	Facility		$231.97	$419.54	$624.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.78 / $249.82 / $335.63	Professional		$195.78	$249.82	$335.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $375.48	Facility		$174.77	$174.77	$375.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $1,573.73	Professional		$127.58	$174.77	$1,573.73
United Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $194.92 / $279.32	Professional		$174.33	$194.92	$279.32