Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $122.40 / $122.40	Facility		$122.40	$122.40	$122.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $122.40 / $138.32	Professional		$116.42	$122.40	$138.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $312.04 / $436.85	Facility		$162.26	$312.04	$436.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $174.74 / $266.48	Professional		$155.44	$174.74	$266.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $291.07	Facility		$138.76	$138.76	$291.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $1,219.94	Professional		$101.29	$138.76	$1,219.94
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $251.68 / $251.68	Facility		$251.68	$251.68	$251.68
United Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $154.76 / $207.55	Professional		$124.53	$154.76	$207.55