Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $103.85 / $103.85	Facility		$103.85	$103.85	$103.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $103.85 / $111.12	Professional		$96.81	$103.85	$111.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $271.38 / $351.79	Facility		$145.94	$271.38	$351.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $157.16 / $269.42	Professional		$130.66	$157.16	$269.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $263.11	Facility		$125.61	$125.61	$263.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $179.11 / $210.22	Professional		$91.70	$179.11	$210.22
United Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $108.18 / $167.15	Professional		$86.33	$108.18	$167.15