Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $110.53 / $110.53	Facility		$91.08	$110.53	$110.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $110.53 / $114.91	Professional		$109.44	$110.53	$114.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $164.16	Facility		$109.44	$109.44	$164.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $253.75	Professional		$109.44	$109.44	$253.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $1,417.80 / $1,417.80	Facility		$103.24	$1,417.80	$1,417.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $1,668.27	Professional		$109.44	$109.44	$1,668.27