Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $204.17	Facility		$112.20	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $158.49	Professional		$95.50	$109.65	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Facility		$158.49	$158.49	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $407.38	Facility		$114.82	$218.78	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $660.69 / $660.69	Professional		$53.70	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $169.82	Professional		$57.54	$61.66	$169.82