Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $120.83 / $120.83	Facility		$120.83	$120.83	$120.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $120.83 / $129.94	Professional		$101.34	$120.83	$129.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $310.51 / $431.22	Facility		$160.16	$310.51	$431.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $172.49 / $276.01	Professional		$160.16	$172.49	$276.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $269.54	Facility		$175.58	$175.58	$269.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $1,115.44	Professional		$128.16	$175.58	$1,115.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $147.85 / $204.88	Professional		$117.41	$147.85	$204.88