Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.05 / $161.66 / $194.00	Facility		$106.05	$161.66	$194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $104.76 / $106.05	Professional		$97.00	$104.76	$106.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $174.60 / $194.00	Facility		$142.26	$174.60	$194.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $155.19 / $174.60	Professional		$155.19	$155.19	$174.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $155.19 / $387.94	Facility		$105.08	$155.19	$387.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $185.85 / $623.37	Professional		$40.14	$185.85	$623.37
United Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $54.80 / $158.91	Professional		$46.03	$54.80	$158.91