Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $208.93	Professional		$97.72	$120.23	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $316.23	Facility		$151.36	$151.36	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $275.42	Professional		$162.18	$162.18	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $416.87 / $416.87	Facility		$144.54	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,258.93	Professional		$104.71	$104.71	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $269.15	Facility		$114.82	$134.90	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $190.55	Professional		$104.71	$131.83	$190.55