Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $171.25 / $205.50	Facility		$112.34	$171.25	$205.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $112.34 / $116.45	Professional		$102.75	$112.34	$116.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $205.50 / $239.75	Facility		$150.69	$205.50	$239.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $164.40 / $184.95	Professional		$164.40	$164.40	$184.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $164.40 / $410.97	Facility		$111.31	$164.40	$410.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $187.31 / $660.34	Professional		$53.52	$187.31	$660.34
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $68.50 / $198.65	Professional		$57.54	$68.50	$198.65