Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $99.58 / $99.58	Facility		$99.58	$99.58	$99.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $107.65 / $124.65	Professional		$99.58	$107.65	$124.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.96 / $114.43 / $131.28	Facility		$98.96	$114.43	$131.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $101.71 / $101.71	Professional		$101.71	$101.71	$101.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $150.62 / $338.84	Facility		$3.29	$150.62	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $149.19 / $473.95	Professional		$40.28	$149.19	$473.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.33 / $2,290.33 / $2,290.33	Facility		$2,290.33	$2,290.33	$2,290.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $56.23 / $132.15	Professional		$44.25	$56.23	$132.15