Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.46 / $154.50 / $946.17	Facility		$84.46	$154.50	$946.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $83.43 / $84.46	Professional		$77.25	$83.43	$84.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.30 / $139.05 / $154.50	Facility		$113.30	$139.05	$154.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $123.60 / $139.05	Professional		$123.60	$123.60	$139.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $123.60 / $308.97	Facility		$83.69	$123.60	$308.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $147.65 / $662.88	Professional		$52.40	$147.65	$662.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $63.15 / $272.19	Professional		$46.35	$63.15	$272.19