Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $97.36 / $97.36	Facility		$97.36	$97.36	$97.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $93.17 / $97.36	Professional		$90.76	$93.17	$97.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.18 / $254.41 / $329.79	Facility		$126.18	$254.41	$329.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $135.88 / $232.94	Professional		$122.49	$135.88	$232.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $227.48	Facility		$107.78	$107.78	$227.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $926.02	Professional		$78.68	$107.78	$926.02
United Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $85.28 / $85.28	Facility		$85.28	$85.28	$85.28
United Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $94.01 / $147.50	Professional		$72.13	$94.01	$147.50