Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $107.50 / $120.82	Professional		$101.35	$107.50	$120.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.32 / $276.45 / $380.47	Facility		$141.32	$276.45	$380.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $152.19 / $245.74	Professional		$141.32	$152.19	$245.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $243.79	Facility		$116.51	$116.51	$243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.51 / $1,021.79	Professional		$85.05	$116.51	$1,021.79
United Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $92.18 / $92.18	Facility		$92.18	$92.18	$92.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $108.46 / $170.16	Professional		$77.95	$108.46	$170.16