Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $144.54	Professional		$64.57	$102.33	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Facility		$100.00	$100.00	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $158.49 / $338.84	Facility		$3.39	$158.49	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $478.63 / $478.63	Professional		$40.74	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $102.33	Professional		$43.65	$57.54	$102.33