Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $181.97	Professional		$91.20	$114.82	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $295.12	Facility		$141.25	$141.25	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $263.03	Professional		$151.36	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $398.11 / $398.11	Facility		$141.25	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $1,202.26	Professional		$102.33	$102.33	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $251.19	Facility		$144.54	$144.54	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $181.97	Professional		$107.15	$138.04	$181.97