Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $108.10 / $108.10	Facility		$108.10	$108.10	$108.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $108.10 / $111.82	Professional		$90.25	$108.10	$111.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $71.43 / $135.65	Facility		$42.51	$71.43	$135.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $45.29 / $45.29	Professional		$23.30	$45.29	$45.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $144.03 / $333.97	Professional		$87.65	$144.03	$333.97
United Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $237.34 / $458.79	Professional		$154.56	$237.34	$458.79