Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $118.74 / $142.49	Facility		$77.89	$118.74	$142.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $77.89 / $80.73	Professional		$71.23	$77.89	$80.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $142.49 / $166.23	Facility		$104.49	$142.49	$166.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $113.99 / $128.24	Professional		$113.99	$113.99	$128.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $230.13 / $284.93	Facility		$77.18	$230.13	$284.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.85 / $457.85 / $457.85	Professional		$457.85	$457.85	$457.85
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $47.50 / $137.74	Professional		$39.90	$47.50	$137.74