Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.39 / $171.39 / $171.39	Facility		$171.39	$171.39	$171.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.89 / $171.39 / $184.35	Professional		$169.89	$171.39	$184.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.07 / $471.87 / $611.67	Facility		$234.07	$471.87	$611.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.19 / $252.07 / $432.12	Professional		$227.19	$252.07	$432.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $421.99	Facility		$231.66	$231.66	$421.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $1,717.51	Professional		$169.11	$231.66	$1,717.51
United Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $222.95 / $290.63	Professional		$174.38	$222.95	$290.63