Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $127.44 / $127.44	Facility		$127.44	$127.44	$127.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $142.79 / $184.71	Professional		$127.44	$142.79	$184.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.86 / $311.88 / $404.29	Facility		$138.86	$311.88	$404.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $277.22 / $535.64	Professional		$150.16	$277.22	$535.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $1,113.52	Professional		$94.26	$94.26	$1,113.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $125.06 / $231.02	Professional		$109.68	$125.06	$231.02