Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $107.22 / $107.22	Facility		$107.22	$107.22	$107.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $115.22 / $120.43	Professional		$107.22	$115.22	$120.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $99.82 / $130.52	Facility		$21.13	$99.82	$130.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $20.47 / $20.47	Professional		$20.47	$20.47	$20.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.37 / $129.37 / $488.10	Facility		$129.37	$129.37	$488.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $145.01 / $528.51	Professional		$89.43	$145.01	$528.51
United Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $103.07 / $231.16	Professional		$81.70	$103.07	$231.16