Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $213.80	Facility		$114.82	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $134.90	Professional		$100.00	$114.82	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $426.58	Facility		$117.49	$229.09	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $177.83	Professional		$60.26	$64.57	$177.83