Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $154.88	Professional		$89.13	$97.72	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Facility		$107.15	$107.15	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $169.82	Facility		$34.67	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $467.74	Professional		$95.50	$144.54	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $177.83	Professional		$81.28	$114.82	$177.83