Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $106.31 / $106.31	Facility		$106.31	$106.31	$106.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $101.74 / $106.31	Professional		$99.10	$101.74	$106.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $277.79 / $360.10	Facility		$136.41	$277.79	$360.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $146.90 / $251.83	Professional		$133.75	$146.90	$251.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $245.93	Facility		$147.05	$147.05	$245.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $1,010.37	Professional		$107.35	$107.35	$1,010.37
United Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $102.66 / $171.10	Professional		$78.45	$102.66	$171.10