Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $108.04 / $108.04	Facility		$45.33	$108.04	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $108.04 / $112.32	Professional		$106.97	$108.04	$112.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $160.46	Facility		$106.97	$106.97	$160.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $248.01	Professional		$106.97	$106.97	$248.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $95.24 / $106.97	Facility		$95.24	$95.24	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
United Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $106.97 / $116.76	Professional		$103.76	$106.97	$116.76