Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.99 / $97.99 / $97.99	Facility		$97.99	$97.99	$97.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.12 / $97.99 / $105.39	Professional		$97.12	$97.99	$105.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $293.08 / $359.69	Facility		$138.76	$293.08	$359.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $149.43 / $256.16	Professional		$129.88	$149.43	$256.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $257.12	Facility		$172.35	$172.35	$257.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $1,077.66	Professional		$125.82	$172.35	$1,077.66
United Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $131.74 / $131.74	Facility		$131.74	$131.74	$131.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $131.74 / $166.15	Professional		$97.61	$131.74	$166.15