Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $165.96	Professional		$97.72	$114.82	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $295.12	Facility		$141.25	$141.25	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $263.03	Professional		$151.36	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $398.11 / $398.11	Facility		$134.90	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,202.26	Professional		$100.00	$100.00	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $251.19	Facility		$107.15	$144.54	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $199.53	Professional		$97.72	$128.82	$199.53