Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $218.78	Professional		$104.71	$131.83	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $331.13	Facility		$158.49	$158.49	$331.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $295.12	Professional		$169.82	$169.82	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $446.68 / $446.68	Facility		$158.49	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $1,348.96	Professional		$117.49	$117.49	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $281.84	Facility		$162.18	$162.18	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $218.78	Professional		$123.03	$165.96	$218.78