Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $107.15	Facility		$93.33	$93.33	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $181.97	Professional		$79.43	$100.00	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Facility		$102.33	$102.33	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $295.12	Professional		$87.10	$120.23	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $177.83	Professional		$79.43	$114.82	$177.83