Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $251.19	Facility		$134.90	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $190.55	Professional		$109.65	$131.83	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $263.03 / $501.19	Facility		$138.04	$263.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $891.25	Professional		$79.43	$891.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $186.21	Professional		$69.18	$83.18	$186.21