Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $137.24 / $137.24	Facility		$137.24	$137.24	$137.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $146.22 / $163.22	Professional		$137.24	$146.22	$163.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $104.90 / $182.79	Facility		$62.87	$104.90	$182.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $60.89 / $60.89	Professional		$60.89	$60.89	$60.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $172.22 / $6,226.64	Facility		$172.22	$172.22	$6,226.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $329.64 / $2,245.69	Professional		$123.00	$329.64	$2,245.69
United Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $313.08 / $725.18	Professional		$134.22	$313.08	$725.18