Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $157.47 / $157.47	Facility		$157.47	$157.47	$157.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $157.47 / $169.38	Professional		$155.15	$157.47	$169.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.76 / $401.46 / $562.04	Facility		$208.76	$401.46	$562.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $224.82 / $313.19	Professional		$182.69	$224.82	$313.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $355.53	Facility		$225.10	$225.10	$355.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $225.10 / $1,490.15	Professional		$164.32	$225.10	$1,490.15
United Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $172.06 / $200.64	Facility		$172.06	$172.06	$200.64
United Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $196.14 / $267.04	Professional		$156.88	$196.14	$267.04