Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $77.42 / $154.84	Facility		$77.42	$77.42	$154.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $77.42 / $88.62	Professional		$77.42	$77.42	$88.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $141.62 / $165.22	Facility		$103.85	$141.62	$165.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.30 / $113.29 / $123.96	Facility		$103.30	$113.29	$123.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $455.06 / $455.06	Professional		$455.06	$455.06	$455.06
United Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $42.48 / $151.06	Professional		$39.53	$42.48	$151.06