Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $115.45 / $115.45	Facility		$115.45	$115.45	$115.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $117.78 / $161.15	Professional		$109.91	$117.78	$161.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.38 / $256.14 / $332.03	Facility		$203.38	$256.14	$332.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.02 / $219.02 / $41,999.58	Professional		$219.02	$219.02	$41,999.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $245.68	Facility		$210.68	$210.68	$245.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $210.68 / $1,027.43	Professional		$153.80	$210.68	$1,027.43
United Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $191.72 / $328.32	Professional		$122.29	$191.72	$328.32