Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $120.45 / $134.19	Facility		$120.45	$120.45	$134.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.19 / $134.19	Professional		$130.66	$134.19	$134.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $201.29 / $201.29	Facility		$134.19	$201.29	$201.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $153.56 / $177.04	Facility		$126.60	$153.56	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $780.00	Professional		$177.04	$177.04	$780.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $195.02 / $195.02	Professional		$134.19	$195.02	$195.02