Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.62 / $98.62 / $98.62	Facility		$98.62	$98.62	$98.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $94.39 / $123.71	Professional		$91.94	$94.39	$123.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.33 / $279.98 / $343.62	Facility		$126.33	$279.98	$343.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.09 / $136.05 / $233.23	Professional		$124.09	$136.05	$233.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $240.94	Facility		$119.29	$119.29	$240.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $1,009.84	Professional		$87.08	$87.08	$1,009.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $105.74 / $158.72	Professional		$79.81	$105.74	$158.72