Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.52 / $109.52 / $165.28	Facility		$109.52	$109.52	$165.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $106.12 / $116.04	Professional		$70.73	$106.12	$116.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $87.28 / $171.68	Facility		$76.34	$87.28	$171.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $82.14 / $82.14	Professional		$82.14	$82.14	$82.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $122.43	Facility		$122.43	$122.43	$122.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $107.67 / $163.63	Professional		$73.83	$107.67	$163.63
United Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $114.04 / $207.00	Professional		$85.29	$114.04	$207.00