Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $190.55	Professional		$89.13	$112.20	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $281.84	Facility		$138.04	$138.04	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $251.19	Professional		$147.91	$147.91	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $380.19 / $380.19	Facility		$141.25	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $1,122.02	Professional		$102.33	$102.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $245.47	Facility		$104.71	$141.25	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $173.78	Professional		$95.50	$117.49	$173.78