Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $187.91 / $225.50	Facility		$123.27	$187.91	$225.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $123.27 / $127.78	Professional		$112.75	$123.27	$127.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $225.50 / $263.08	Facility		$165.36	$225.50	$263.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $180.40 / $202.95	Professional		$180.40	$180.40	$202.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $372.39 / $883.04	Facility		$122.14	$372.39	$883.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.59 / $724.59 / $724.59	Professional		$724.59	$724.59	$724.59
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $75.17 / $240.53	Professional		$63.14	$75.17	$240.53