Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $181.97	Professional		$91.20	$104.71	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $295.12	Facility		$141.25	$141.25	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $263.03	Professional		$151.36	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $346.74 / $346.74	Facility		$169.82	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $1,047.13	Professional		$144.54	$144.54	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $223.87	Facility		$125.89	$125.89	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $190.55	Professional		$104.71	$141.25	$190.55