Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.49 / $136.41 / $163.69	Facility		$89.49	$136.41	$163.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $89.49 / $92.76	Professional		$81.84	$89.49	$92.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.04 / $163.69 / $190.98	Facility		$120.04	$163.69	$190.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $130.96 / $147.33	Professional		$130.96	$130.96	$147.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.66 / $270.06 / $327.33	Facility		$88.66	$270.06	$327.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.21 / $204.56 / $526.01	Professional		$189.21	$204.56	$526.01
United Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $62.53 / $200.99	Professional		$49.11	$62.53	$200.99