Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $122.00 / $122.00	Facility		$122.00	$122.00	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $95.34 / $122.00	Professional		$79.72	$95.34	$122.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $112.76 / $260.22	Facility		$11.28	$112.76	$260.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $91.08 / $131.47	Professional		$12.15	$91.08	$131.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $202.37	Facility		$120.30	$120.30	$202.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $120.30 / $836.32	Professional		$120.30	$120.30	$836.32
United Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $114.65 / $194.91	Professional		$92.24	$114.65	$194.91