Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.94 / $162.94 / $162.94	Facility		$162.94	$162.94	$162.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $196.48 / $237.11	Professional		$162.94	$196.48	$237.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $265.32 / $291.85	Facility		$194.56	$265.32	$291.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.26 / $212.26 / $212.26	Professional		$212.26	$212.26	$212.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $1,033.70	Professional		$182.29	$182.29	$1,033.70
United Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $195.62 / $357.48	Professional		$124.50	$195.62	$357.48