Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.77 / $106.77 / $106.77	Facility		$106.77	$106.77	$106.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $106.77 / $141.11	Professional		$106.32	$106.77	$141.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.53 / $293.95 / $381.05	Facility		$141.53	$293.95	$381.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $152.41 / $261.29	Professional		$141.53	$152.41	$261.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $286.83	Facility		$140.85	$140.85	$286.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $1,202.25	Professional		$102.82	$102.82	$1,202.25
United Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $151.74 / $181.05	Professional		$108.63	$151.74	$181.05