Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $116.94 / $116.94	Facility		$116.94	$116.94	$116.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $116.94 / $125.78	Professional		$109.42	$116.94	$125.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.02 / $314.89 / $417.36	Facility		$155.02	$314.89	$417.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $166.94 / $270.17	Professional		$155.02	$166.94	$270.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $291.70	Facility		$194.51	$194.51	$291.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $194.51 / $1,222.64	Professional		$141.99	$194.51	$1,222.64
United Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $156.90 / $198.30	Professional		$118.98	$156.90	$198.30