Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $173.78	Professional		$81.28	$95.50	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $263.03	Facility		$125.89	$125.89	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $234.42	Professional		$134.90	$134.90	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $338.84 / $338.84	Facility		$120.23	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $1,000.00	Professional		$87.10	$87.10	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $218.78	Facility		$93.33	$95.50	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $158.49	Professional		$85.11	$107.15	$158.49