Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $112.01 / $112.01	Facility		$112.01	$112.01	$112.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $112.01 / $120.47	Professional		$106.53	$112.01	$120.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $285.51 / $399.72	Facility		$148.47	$285.51	$399.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $159.88 / $241.19	Professional		$140.69	$159.88	$241.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $255.06	Facility		$122.31	$122.31	$255.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $1,069.03	Professional		$89.29	$122.31	$1,069.03
United Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $136.41 / $189.92	Professional		$106.84	$136.41	$189.92