Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.98 / $203.98 / $203.98	Facility		$203.98	$203.98	$203.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $52.42 / $64.20	Professional		$30.36	$52.42	$64.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $128.28 / $166.29	Facility		$57.11	$128.28	$166.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $114.02 / $220.31	Professional		$61.76	$114.02	$220.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $111.35	Facility		$111.35	$111.35	$111.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $458.00	Professional		$38.77	$38.77	$458.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $52.25 / $95.02	Professional		$45.11	$52.25	$95.02