Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $109.69 / $109.69	Facility		$109.69	$109.69	$109.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $104.98 / $109.69	Professional		$84.75	$104.98	$109.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $278.36 / $371.54	Facility		$138.00	$278.36	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $148.62 / $247.43	Professional		$138.00	$148.62	$247.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $241.63	Facility		$120.06	$120.06	$241.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $905.05	Professional		$87.64	$120.06	$905.05
United Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $105.92 / $177.33	Professional		$70.92	$105.92	$177.33