Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $104.10 / $104.10	Facility		$104.10	$104.10	$104.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $99.63 / $104.10	Professional		$84.28	$99.63	$104.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $272.02 / $352.63	Facility		$143.69	$272.02	$352.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $154.75 / $265.27	Professional		$130.97	$154.75	$265.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $259.07	Facility		$144.01	$144.01	$259.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.01 / $956.48	Professional		$105.13	$144.01	$956.48
United Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $100.52 / $167.54	Professional		$72.51	$100.52	$167.54