Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.61 / $110.61 / $110.61	Facility		$110.61	$110.61	$110.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $110.61 / $118.97	Professional		$110.61	$110.61	$118.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $281.95 / $394.75	Facility		$146.62	$281.95	$394.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $157.90 / $231.06	Professional		$134.79	$157.90	$231.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $258.23	Facility		$126.98	$126.98	$258.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $1,082.33	Professional		$92.70	$92.70	$1,082.33
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $135.62 / $187.56	Professional		$110.19	$135.62	$187.56