Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.34 / $233.35 / $322.25	Facility		$233.34	$233.35	$322.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $179.64 / $233.35	Professional		$111.12	$179.64	$233.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $222.24	Facility		$185.20	$185.20	$222.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $120.38 / $185.20	Professional		$120.38	$120.38	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $139.63 / $332.25	Facility		$120.38	$139.63	$332.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $168.84 / $288.08	Professional		$78.14	$168.84	$288.08
United Facility/Professional Facility Modifier Low / Median / High Price $166.68 / $166.68 / $166.68	Facility		$166.68	$166.68	$166.68
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $186.30	Professional		$77.78	$111.12	$186.30