Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $199.53	Facility		$109.65	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $125.89	Professional		$93.33	$107.15	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $398.11	Facility		$112.20	$213.80	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $165.96	Professional		$56.23	$60.26	$165.96