Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $112.40 / $112.40	Facility		$112.40	$112.40	$112.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $87.47 / $112.40	Professional		$84.93	$87.47	$112.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $100.41 / $244.86	Facility		$10.03	$100.41	$244.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $81.09 / $117.08	Professional		$10.82	$81.09	$117.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $222.04	Facility		$123.50	$123.50	$222.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $123.50 / $134.41	Professional		$12.35	$123.50	$134.41
United Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $113.24 / $222.04	Professional		$84.99	$113.24	$222.04