Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $199.53	Professional		$93.33	$123.03	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $302.00	Facility		$144.54	$144.54	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $269.15	Professional		$154.88	$154.88	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $407.38 / $407.38	Facility		$138.04	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $1,230.27	Professional		$102.33	$102.33	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $257.04	Facility		$147.91	$147.91	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $208.93	Professional		$117.49	$154.88	$208.93