Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.97 / $109.97 / $109.97	Facility		$109.97	$109.97	$109.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $105.25 / $109.97	Professional		$90.23	$105.25	$109.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.37 / $266.08 / $372.52	Facility		$138.37	$266.08	$372.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $149.01 / $218.75	Professional		$127.60	$149.01	$218.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $233.28	Facility		$111.95	$111.95	$233.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.95 / $977.74	Professional		$81.72	$111.95	$977.74
United Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $106.20 / $177.00	Professional		$74.91	$106.20	$177.00