Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.16 / $163.16 / $163.16	Facility		$163.16	$163.16	$163.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $163.16 / $175.49	Professional		$163.16	$163.16	$175.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.77 / $449.20 / $582.29	Facility		$222.77	$449.20	$582.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $239.91 / $411.28	Professional		$216.28	$239.91	$411.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $401.64	Facility		$220.51	$220.51	$401.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $1,647.33	Professional		$160.97	$220.51	$1,647.33
United Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $213.58 / $276.67	Professional		$166.00	$213.58	$276.67