Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $126.85 / $126.85	Facility		$126.85	$126.85	$126.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $126.85 / $167.63	Professional		$126.85	$126.85	$167.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.14 / $379.39 / $465.62	Facility		$168.14	$379.39	$465.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $181.08 / $310.42	Professional		$168.14	$181.08	$310.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $323.54	Facility		$161.63	$161.63	$323.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $1,356.06	Professional		$117.99	$161.63	$1,356.06
United Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $198.86	Facility		$170.54	$170.54	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $155.52 / $202.46	Professional		$126.36	$155.52	$202.46