Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.11 / $149.40 / $243.02	Facility		$100.11	$149.40	$243.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $156.28 / $242.43	Professional		$100.11	$156.28	$242.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $121.87 / $132.77	Facility		$109.13	$121.87	$132.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $118.02 / $118.02	Professional		$93.60	$118.02	$118.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $174.98 / $174.98	Facility		$174.98	$174.98	$174.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $181.04 / $437.16	Professional		$104.79	$181.04	$437.16
United Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $179.99 / $243.02	Professional		$115.35	$179.99	$243.02