Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $117.92 / $117.92	Facility		$117.92	$117.92	$117.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $122.85 / $135.05	Professional		$117.92	$122.85	$135.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $84.35 / $152.85	Facility		$62.87	$84.35	$152.85
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 $143.54 / $143.54 / $1,209.18	Facility		$143.54	$143.54	$1,209.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $272.22 / $2,245.69	Professional		$103.33	$272.22	$2,245.69
United Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $273.79 / $728.31	Professional		$116.57	$273.79	$728.31