Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $133.22 / $133.22	Facility		$100.00	$133.22	$133.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $133.22 / $138.49	Professional		$131.90	$133.22	$138.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $197.85	Facility		$131.90	$131.90	$197.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $305.82	Professional		$131.90	$131.90	$305.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $382.50 / $382.50	Facility		$124.43	$382.50	$382.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $452.71	Professional		$131.90	$131.90	$452.71