Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $202.35 / $242.82	Facility		$132.74	$202.35	$242.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $131.12 / $132.74	Professional		$121.41	$131.12	$132.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.07 / $218.54 / $242.82	Facility		$178.07	$218.54	$242.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.26 / $194.26 / $218.54	Professional		$194.26	$194.26	$218.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.53 / $194.26 / $485.59	Facility		$131.53	$194.26	$485.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $232.31 / $780.26	Professional		$38.59	$232.31	$780.26
United Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $72.84 / $145.93	Professional		$42.27	$72.84	$145.93