Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $229.09	Professional		$112.20	$138.04	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $371.54	Facility		$177.83	$177.83	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $331.13	Professional		$190.55	$190.55	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $436.52 / $436.52	Facility		$107.15	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,318.26	Professional		$125.89	$125.89	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $275.42	Facility		$112.20	$158.49	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $251.19	Professional		$141.25	$181.97	$251.19