Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $95.31 / $95.31	Facility		$95.31	$95.31	$95.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $95.31 / $102.52	Professional		$94.48	$95.31	$102.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.18 / $262.41 / $340.17	Facility		$130.18	$262.41	$340.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $140.19 / $240.32	Professional		$126.35	$140.19	$240.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $234.70	Facility		$120.62	$120.62	$234.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $955.23	Professional		$88.05	$120.62	$955.23
United Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $124.17 / $162.35	Professional		$94.95	$124.17	$162.35