Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.08 / $177.08 / $177.08	Facility		$177.08	$177.08	$177.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.52 / $177.08 / $190.46	Professional		$175.52	$177.08	$190.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.81 / $487.53 / $631.98	Facility		$241.81	$487.53	$631.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.73 / $260.41 / $446.42	Professional		$234.73	$260.41	$446.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $435.96	Facility		$239.35	$239.35	$435.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $1,774.53	Professional		$174.73	$174.73	$1,774.53
United Facility/Professional Professional Modifier Low / Median / High Price $180.17 / $230.35 / $301.61	Professional		$180.17	$230.35	$301.61