Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.04 / $115.04 / $115.04	Facility		$115.04	$115.04	$115.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $110.10 / $121.30	Professional		$93.23	$110.10	$121.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.30 / $275.87 / $389.67	Facility		$159.30	$275.87	$389.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $171.55 / $294.08	Professional		$144.74	$171.55	$294.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $287.20	Facility		$126.23	$126.23	$287.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $1,040.20	Professional		$92.15	$126.23	$1,040.20
United Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $111.09 / $185.15	Professional		$76.84	$111.09	$185.15