Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $158.49	Professional		$83.18	$102.33	$158.49
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 $147.91 / $331.13 / $331.13	Facility		$147.91	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $1,000.00	Professional		$109.65	$109.65	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $218.78	Facility		$93.33	$93.33	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $169.82	Professional		$85.11	$112.20	$169.82