Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.75 / $171.75 / $171.75	Facility		$171.75	$171.75	$171.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $171.75 / $216.67	Professional		$171.75	$171.75	$216.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.67 / $472.85 / $612.96	Facility		$227.67	$472.85	$612.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $245.18 / $420.31	Professional		$227.67	$245.18	$420.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $456.38	Facility		$243.19	$243.19	$456.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $1,912.82	Professional		$177.53	$243.19	$1,912.82
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $210.58 / $292.55	Professional		$174.74	$210.58	$292.55