Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $107.79 / $107.79	Facility		$107.79	$107.79	$107.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $114.96 / $114.96	Professional		$107.79	$114.96	$114.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $71.73 / $126.21	Facility		$50.02	$71.73	$126.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $48.43 / $48.43	Professional		$48.43	$48.43	$48.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $1,548.32	Facility		$120.42	$120.42	$1,548.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $189.70 / $888.73	Professional		$86.60	$189.70	$888.73
United Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $204.20 / $341.85	Professional		$94.17	$204.20	$341.85