Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $108.48 / $108.48	Facility		$108.48	$108.48	$108.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $103.82 / $135.90	Professional		$101.12	$103.82	$135.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.47 / $283.45 / $367.45	Facility		$136.47	$283.45	$367.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $146.97 / $251.96	Professional		$136.47	$146.97	$251.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $270.42	Facility		$139.66	$139.66	$270.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $1,133.42	Professional		$101.95	$139.66	$1,133.42
United Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $112.99 / $174.59	Professional		$87.80	$112.99	$174.59