Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.24 / $187.86 / $225.44	Facility		$123.24	$187.86	$225.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $123.24 / $173.81	Professional		$112.72	$123.24	$173.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.32 / $225.44 / $263.01	Facility		$165.32	$225.44	$263.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.35 / $180.35 / $202.89	Professional		$180.35	$180.35	$202.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $372.39 / $450.84	Facility		$122.11	$372.39	$450.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $281.95 / $964.01	Professional		$85.50	$281.95	$964.01
United Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $131.65 / $325.45	Professional		$82.66	$131.65	$325.45