Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.84 / $122.84 / $122.84	Facility		$122.84	$122.84	$122.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $117.57 / $122.84	Professional		$107.33	$117.57	$122.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $297.20 / $416.10	Facility		$154.55	$297.20	$416.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $166.44 / $260.23	Professional		$151.80	$166.44	$260.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $284.00	Facility		$135.51	$135.51	$284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $1,190.34	Professional		$98.92	$135.51	$1,190.34
United Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $118.63 / $197.71	Professional		$90.68	$118.63	$197.71