Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.39 / $104.39 / $104.39	Facility		$104.39	$104.39	$104.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $99.90 / $123.53	Professional		$97.31	$99.90	$123.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $272.77 / $353.61	Facility		$161.65	$272.77	$353.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $181.85 / $322.72	Professional		$131.34	$181.85	$322.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $315.16	Facility		$136.19	$136.19	$315.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $1,094.72	Professional		$99.43	$136.19	$1,094.72
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $106.29 / $168.75	Professional		$84.34	$106.29	$168.75