Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.24 / $122.24 / $122.24	Facility		$122.24	$122.24	$122.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $122.24 / $128.47	Professional		$102.02	$122.24	$128.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $95.25 / $159.06	Facility		$38.68	$95.25	$159.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $40.94 / $40.94	Professional		$20.91	$40.94	$40.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $164.95 / $386.40	Professional		$102.91	$164.95	$386.40
United Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $133.10 / $234.76	Professional		$96.92	$133.10	$234.76