Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.43 / $107.77 / $107.77	Facility		$62.43	$107.77	$107.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $107.76 / $112.04	Professional		$106.70	$107.76	$112.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $160.05	Facility		$106.70	$106.70	$160.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $247.39	Professional		$106.70	$106.70	$247.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $479.40 / $479.40	Facility		$100.66	$479.40	$479.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
United Facility/Professional Facility Modifier Low / Median / High Price $147.15 / $147.15 / $147.15	Facility		$147.15	$147.15	$147.15
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $563.96	Professional		$106.70	$106.70	$563.96