Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $166.43 / $166.43	Facility		$166.43	$166.43	$166.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $166.43 / $179.20	Professional		$163.41	$166.43	$179.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.38 / $467.42 / $609.67	Facility		$260.38	$467.42	$609.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.61 / $280.41 / $480.70	Professional		$220.61	$280.41	$480.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $469.43	Facility		$244.07	$244.07	$469.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $1,799.11	Professional		$178.17	$244.07	$1,799.11
United Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $381.02 / $381.02	Facility		$381.02	$381.02	$381.02
United Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $234.30 / $282.20	Professional		$169.33	$234.30	$282.20