Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $109.16 / $117.41	Professional		$108.04	$109.16	$117.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $310.02 / $400.72	Facility		$144.69	$310.02	$400.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $155.83 / $266.76	Professional		$144.69	$155.83	$266.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $287.50	Facility		$182.31	$182.31	$287.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $1,205.00	Professional		$133.09	$182.31	$1,205.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $146.55 / $185.10	Professional		$111.06	$146.55	$185.10