Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $175.86 / $175.86	Facility		$175.86	$175.86	$175.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.04 / $175.86 / $189.14	Professional		$157.04	$175.86	$189.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.12 / $448.30 / $627.62	Facility		$233.12	$448.30	$627.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.48 / $251.05 / $343.68	Professional		$200.48	$251.05	$343.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $357.90	Facility		$170.54	$170.54	$357.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $1,500.08	Professional		$124.49	$170.54	$1,500.08
United Facility/Professional Professional Modifier Low / Median / High Price $175.18 / $205.11 / $287.56	Professional		$175.18	$205.11	$287.56