Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $121.53 / $145.83	Facility		$79.72	$121.53	$145.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $79.72 / $82.64	Professional		$72.92	$79.72	$82.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.94 / $145.83 / $170.14	Facility		$106.94	$145.83	$170.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.66 / $116.66 / $131.25	Professional		$116.66	$116.66	$131.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $189.24 / $291.62	Facility		$78.98	$189.24	$291.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.60 / $468.60 / $468.60	Professional		$468.60	$468.60	$468.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $48.61 / $131.25	Professional		$40.83	$48.61	$131.25