Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.92 / $126.40 / $151.68	Facility		$82.92	$126.40	$151.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $82.92 / $85.95	Professional		$75.84	$82.92	$85.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $151.68 / $176.96	Facility		$111.23	$151.68	$176.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $121.34 / $136.51	Professional		$121.34	$121.34	$136.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $249.94 / $655.68	Facility		$82.16	$249.94	$655.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.40 / $487.40 / $487.40	Professional		$487.40	$487.40	$487.40
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $50.56 / $146.62	Professional		$42.47	$50.56	$146.62