Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $117.49 / $126.36	Professional		$105.12	$117.49	$126.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.74 / $299.50 / $419.30	Facility		$155.74	$299.50	$419.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $167.72 / $253.68	Professional		$147.97	$167.72	$253.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $275.97	Facility		$166.47	$166.47	$275.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $1,156.66	Professional		$121.52	$166.47	$1,156.66
United Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $147.32 / $199.22	Professional		$119.03	$147.32	$199.22