Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $187.50 / $225.00	Facility		$123.00	$187.50	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $123.00 / $127.50	Professional		$112.50	$123.00	$127.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $225.00 / $262.50	Facility		$165.00	$225.00	$262.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $202.50	Professional		$180.00	$180.00	$202.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.88 / $291.99 / $449.96	Facility		$121.88	$291.99	$449.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $723.00 / $723.00	Professional		$723.00	$723.00	$723.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.00 / $217.50	Professional		$63.00	$75.00	$217.50