Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
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 / $288.40	Facility		$138.04	$138.04	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $257.04	Professional		$147.91	$147.91	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $380.19 / $380.19	Facility		$151.36	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $1,148.15	Professional		$109.65	$109.65	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $245.47	Facility		$85.11	$104.71	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $190.55	Professional		$95.50	$125.89	$190.55