Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,412.54	Facility		$100.00	$100.00	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $158.49	Professional		$97.72	$112.20	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Facility		$102.33	$102.33	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $165.96	Facility		$34.67	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $446.68	Professional		$91.20	$138.04	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,230.27	Facility		$457.09	$457.09	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $194.98	Professional		$83.18	$125.89	$194.98